Blocker, David Edward
Blocker, David Edward is an sole proprietor health care provider with primary practice located at 1308 Paluxy Rd Ste 204 , Granbury TX 76048-5689. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Blocker, David Edward can be contacted via phone (817) 579-9357.Contact Information
Primary practice address
1308 Paluxy Rd Ste 204
Granbury TX 76048-5689
Phone: (817) 579-9357
Fax: (817) 579-9363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | K2651 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K2651 | Texas |
Profile Details
| NPI number | 1265428700 |
|---|---|
| LBN Legal business name | Blocker, David Edward |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265428700 | NPPES |
| Texas | MEDICAID | 386974507 | |
| Texas | MEDICAID | 386974505 |
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