BRENT BLACKBURN

TEXARKANA, AR
NPI1548669823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AR  AK3349289)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: AR  A004186)
Enumeration Date2014-08-22
Last Update Date2024-06-07
Business Address
BRENT BLACKBURN MD, AG-ACNP, FNP
3417 U OF A WAY
TEXARKANA, AR 71854-1419
Phone number: 870-779-6000
Mailing Address
BRENT BLACKBURN MD, AG-ACNP, FNP
3417 U OF A WAY
TEXARKANA, AR 71854-1419
Phone number: 870-779-6000