Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STAN E. BLACKBURN, MS, PT
ActiveMR. STAN E. BLACKBURN, MS, PT is a Specialist healthcare provider located in MANSFIELD, Texas. NPI 1780893230 is currently active in the NPPES registry. Verify at CMS.
Specialist · MANSFIELD, TX
Registration Details
- NPI Number
- 1780893230
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2007 (19.188409434218 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1027654 (TX)
Practice Information
- Address
-
4003 CALLOWAY DRMANSFIELD, TX, 760633448Browse TX providers · Browse ZIP 76063
- Phone
- 8177273182
- Fax
- 6825185603
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in MANSFIELD, TX
| Name | Credential | NPI |
|---|---|---|
| DR. GANANA TESFA | M.D. | 1891844577 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.