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Dr. James David Blackburn X, MD
General Practice Physician in Jefferson, Texas
NPI 1518337435

James David Blackburn X is a General Practice Physician based in Jefferson, TX. James David Blackburn X practices in Jefferson, TX and has the professional credentials of MD. The NPI Number for James David Blackburn X is 1518337435 and holds a License No. C8902 (Texas).

The current practice location address for James David Blackburn X is 19499 State Highway 49, Jefferson, TX and can be reached out via phone at 903-665-8996 and via fax at 903-665-8996.

Location: 19499 State Highway 49, Jefferson, TX, 75657-5251
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518337435
Provider Name
James David Blackburn X
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
19499 State Highway 49, Jefferson, TX, 75657-5251
Phone Number
903-665-8996
Fax Number
903-665-8996
Provider Enumeration Date
10/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19499 State Highway 49
City
Jefferson
State
Texas
Zip
75657-5251
Phone Number
903-665-8996
Fax Number
903-665-8996
person
Provider Business Mailing Address Details
Address
19499 State Highway 49
City
Jefferson
State
Texas
Zip
75657-5251
Phone Number
903-665-8996
Fax Number
903-665-8996
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
C8902 (Texas)
Definition
Definition to come...
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