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DENNIS MICHAEL BLANKENSHIP M.D.
Nephrology >> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1821086547
Individual Registrant: DENNIS MICHAEL BLANKENSHIP M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
422 BEECH ST TEXARKANA, AR 71854-5310 US
Tel: 870-773-1111 Fax: 870-772-1354
Tel: 870-773-1111 Fax: 870-772-1354
Contact information for business:
422 BEECH ST TEXARKANA, AR 71854-5310 US
Tel: 870-773-1111 Fax: 870-772-7692
Tel: 870-773-1111 Fax: 870-772-7692
Registration Information:
NPI: 1821086547
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207RN0300X | Allopathic & Osteopathic Physicians Internal Medicine Nephrology | AR | R3130 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 107680001 | AR | 05 | |
| BLUE CROSS BLUE SHIELD | 50512 | AR | 01 |
