| Dr David L Blackburn, MD | |
|
1020 Hwy 16 S, Fredericksburg, TX 78624-4471 | |
| (830) 249-1827 | |
| Not Available |
| Full Name | Dr David L Blackburn |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1020 Hwy 16 S, Fredericksburg, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316905946 | NPI | - | NPPES |
| 136516516 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | H7903 (Texas) | Primary |
| Entity Name | Victoria Emergency Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407917164 PECOS PAC ID: 7911005087 Enrollment ID: O20070613000507 |
| Entity Name | Victoria Hospitalist Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023236825 PECOS PAC ID: 6204927122 Enrollment ID: O20070807000680 |
| Entity Name | Victoria Emergency Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164770996 PECOS PAC ID: 7012165939 Enrollment ID: O20120919000322 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David L Blackburn, MD 200 Corporate Blvd, Suite # 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr David L Blackburn, MD 1020 Hwy 16 S, Fredericksburg, TX 78624-4471 Ph: (830) 249-1827 |
Bradley Purkhiser, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4130 Pecan Creek Rd, Fredericksburg, TX 78624 Phone: 830-669-2107 | |
Ottis L Layne Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1308 South Highway 16, Fredericksburg, TX 78624 Phone: 830-997-2181 Fax: 830-997-9598 |