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1396872412
DAVID RUSSELL BLAYLOCK
DALLAS, TX
NPI
1396872412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: TX H9805)
Enumeration Date
2007-02-27
Last Update Date
2020-06-08
Business Address
DAVID RUSSELL BLAYLOCK D.O.
6606 LBJ FWY SUITE 200
DALLAS, TX 75240
Phone number: 972-715-5000
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Mailing Address
DAVID RUSSELL BLAYLOCK D.O.
PO BOX 840853
DALLAS, TX 75284-0853
Phone number: 972-715-5000
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