Individual provider · Type 1 NPI

David Tyler Blake

Student in an Organized Health Care Education/Training Program · Fort Worth, TX

NPI number 1912847856 Active

Practice location

3500 Camp Bowie Blvd
Fort Worth, TX 76107-2644

Call (817) 235-5211 Map

Mailing address

2103 Lakehill Ct
Arlington, TX 76012-5613

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1912847856

David Tyler Blake's National Provider Identifier is 1912847856, issued on Mar 31, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 31, 2026.