SearchTexas106S00000X

Destiney Blackwell

NPI 1538969290 · on the registry since 2025 · sole proprietor

Practice

Address
706 Springdale Rd
Bedford, TX 76021
Phone
(817) 475-7404
Clinicians at this address
3

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas