David Tyler Blake
David Tyler Blake is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Practices as a sole proprietor. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
3500 Camp Bowie BlvdFort Worth, TX 76107-2644
Phone: (817) 235-5211
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1912847856 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | Yes |
| NPI enumerated | March 31, 2026 |
| Last updated in NPPES | March 31, 2026 |
| Certification date | March 31, 2026 |
| Mailing address | 2103 Lakehill Ct, Arlington, TX 76012-5613 |
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