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Dr. Kyle Blackburn, MD
Student in an Organized Health Care Education/Training Program in Dallas, Texas
NPI 1144640533

Kyle Blackburn is a Student in an Organized Health Care Education/Training Program based in Dallas, TX. Kyle Blackburn practices in Dallas, TX and has the professional credentials of MD. The NPI Number for Kyle Blackburn is 1144640533 and holds a License No. R6747 (Texas).

The current practice location address for Kyle Blackburn is 5201 Harry Hines Blvd, Dallas, TX and can be reached out via phone at 214-590-8058.

Location: 5201 Harry Hines Blvd, Dallas, TX, 75266-0599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144640533
Provider Name
Kyle Blackburn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5201 Harry Hines Blvd, Dallas, TX, 75266-0599
Phone Number
214-590-8058
Fax Number
Provider Enumeration Date
04/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5201 Harry Hines Blvd
City
Dallas
State
Texas
Zip
75235-7708
Phone Number
214-590-8058
Fax Number
person
Provider Business Mailing Address Details
Address
5201 Harry Hines Blvd
City
Dallas
State
Texas
Zip
75235-7708
Phone Number
214-590-8058
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
(Texas)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
R6747 (Texas)
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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