Blackburn, David

Blackburn, David is an individual health care provider with primary practice located at 306 Hospital Dr , Corsicana TX 75110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Blackburn, David can be contacted via phone (713) 515-7795.

Contact Information

Primary practice address
306 Hospital Dr Corsicana TX 75110
Phone: (713) 515-7795
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X F8411 Texas
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X F8411 Texas

Profile Details

NPI number 1245233360
LBN Legal business name Blackburn, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jun 26th, 2018 - about 6 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1245233360 NPPES
Texas MEDICAID 038123801

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