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Taylor Blackwood, DO
Student in an Organized Health Care Education/Training Program in Lubbock, Texas
NPI 1114591203

Taylor Blackwood is a Student in an Organized Health Care Education/Training Program based in Fort Worth, TX. Taylor Blackwood practices in Lubbock, TX and has the professional credentials of DO. The NPI Number for Taylor Blackwood is 1114591203 and holds a License No. (Texas).

The current practice location address for Taylor Blackwood is 3601 4Th St, Lubbock, TX and can be reached out via phone at 806-743-1000.

Location: 3601 4Th St, Lubbock, TX, 76109-1369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114591203
Provider Name
Taylor Blackwood
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3601 4Th St, Lubbock, TX, 76109-1369
Phone Number
806-743-1000
Fax Number
Provider Enumeration Date
05/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3601 4Th St
City
Lubbock
State
Texas
Zip
79430-0002
Phone Number
806-743-1000
Fax Number
person
Provider Business Mailing Address Details
Address
3601 4Th St
City
Lubbock
State
Texas
Zip
79430-0002
Phone Number
806-743-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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