Dr. Blake Lloyd Davidson, D.C.
Chiropractor in Dallas, TX. Individual provider (NPI-1).
NPI number1316129596
StatusActive
Last updated in NPPESNov 29, 2007
Details
- NPI
- 1316129596
- Entity type
- Individual (NPI-1)
- Name
- Dr. Blake Lloyd Davidson
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 29, 2007
- Last updated
- Nov 29, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 6979 | TX | Yes |
Practice location
14180 Dallas PkwySuite 520
Dallas, TX 75254-4341
Phone 972-701-9696 · Fax 972-701-9797
Mailing address
14180 Dallas PkwySuite 520
Dallas, TX 75254-1334
Phone 972-701-9696 · Fax 972-701-9797
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