Blackburn, Brent

Blackburn, Brent is an individual health care provider with primary practice located at 3417 U Of A Way , Texarkana AR 71854-1419. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Blackburn, Brent can be contacted via phone (870) 779-6000.

Contact Information

Primary practice address
3417 U Of A Way Texarkana AR 71854-1419
Phone: (870) 779-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X A004186 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X AK3349289 Arkansas

Profile Details

NPI number 1548669823
LBN Legal business name Blackburn, Brent
Credentials MD, AG-ACNP, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2014
Last updated Jun 7th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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