Provider Demographics
NPI:1962081992
Name:BLANKENSHIP, ALLISON KNOX (NBC-HWC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:KNOX
Last Name:BLANKENSHIP
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10518 COUNTESS DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-5103
Mailing Address - Country:US
Mailing Address - Phone:972-979-9847
Mailing Address - Fax:
Practice Address - Street 1:10518 COUNTESS DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-5103
Practice Address - Country:US
Practice Address - Phone:972-979-9847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date: