Charles Leonard Blankenship, M.D. Valid NPI

Individual provider · Surgery Physician · Texarkana, TX

NPI

1497717060

Type

Individual (Type 1)

Primary specialty

Surgery Physician (Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208600000X

License number

E6241 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2006-04-06

Last updated

2015-04-29