Tristen Blake, DC
Chiropractor in Plano, TX. Individual provider (NPI-1).
NPI number1528831708
StatusActive
Last updated in NPPESOct 31, 2023
Details
- NPI
- 1528831708
- Entity type
- Individual (NPI-1)
- Name
- Tristen Blake
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2023
- Certification date
- Oct 31, 2023
- Last updated
- Oct 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 15787 | TX | Yes |
Practice location
6300 Stonewood Dr Ste 100Plano, TX 75024-5282
Phone 972-964-7000 · Fax 972-964-7005
Mailing address
6300 Stonewood Dr Ste 100Plano, TX 75024-5282
Phone 972-964-7000 · Fax 972-964-7005
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