Alan L Blankenship (NPI# 1528358025, PAC ID# 0446475016) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1528358025 |
| PAC ID by PECOS | 0446475016 |
| Professional Enrollment ID | I20140716000312 |
| Full Name | Alan L Blankenship |
| Organization Legal Name | CAMP BOWIE ER PHYSICIANS PLLC |
| Address |
6006 Camp Bowie Blvd Ft Worth TX 76116-5620 |
| Phone Number | 8179841205 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 2011 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2466721345 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450779 | TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F |
| 450639 | TEXAS HEALTH HARRIS METHODIST HURST-EULESS-BEDFORD |
| 450135 | TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH |
| Address | Phone | Organization |
|---|---|---|
| 6100 Harris Pkwy, Fort Worth, TX 76132-4101 | 8173465000 | TEXAS MEDICINE RESOURCES, LLP |
| 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 | 8179841205 | CAMP BOWIE ER PHYSICIANS PLLC |
| Organization Legal Name | CAMP BOWIE ER PHYSICIANS PLLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Wayne Langston | Emergency Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Shelley E Durham | Family Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Grady M Mcmahan | Family Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Justus Turner Peters | Family Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Michael W Hart | Internal Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Jose E Cabrero | Emergency Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Adam M Mankowski | Emergency Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Dana A Wingate | Emergency Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Nathan Andrew Wright | Emergency Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Street Address |
6006 CAMP BOWIE BLVD |
| City | FT WORTH |
| State | TX |
| Zip | 76116-5620 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Wayne Langston | Emergency Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Shelley E Durham | Family Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Grady M Mcmahan | Family Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Justus Turner Peters | Family Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Michael W Hart | Internal Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Jose E Cabrero | Emergency Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Adam M Mankowski | Emergency Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Dana A Wingate | Emergency Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Nathan Andrew Wright | Emergency Medicine | Camp Bowie Er Physicians Pllc | 6006 Camp Bowie Blvd, Ft Worth, TX 76116-5620 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kwaku A Osafo-mensah | Pulmonary Disease | 2550 River Park Plz, Suite 100, Fort Worth, TX 76116-0921 | |
| Chrissy A Hill | Physician Assistant | Quang Trong Le Do Pa | 2550 River Park Plz, Suite 110, Fort Worth, TX 76116-0921 |
| Ngoc V Tran | Internal Medicine | Quang Trong Le Do Pa | 2550 River Park Plz, Suite 110, Fort Worth, TX 76116-0921 |
| Nicole Minshew | Physician Assistant | Quang Trong Le Do Pa | 2550 River Park Plz, Suite 110, Fort Worth, TX 76116-0921 |
| Brittany M Wilson | Physician Assistant | Quang Trong Le Do Pa | 2550 River Park Plz, Suite 110, Fort Worth, TX 76116-0921 |
| Melissa A Burkett | Nurse Practitioner | Quang Trong Le Do Pa | 2550 River Park Plz, Suite 110, Fort Worth, TX 76116-0921 |
| Jennifer A Burkholz | Family Medicine | Quang Trong Le Do Pa | 2550 River Park Plz, Suite 110, Fort Worth, TX 76116-0921 |
| Kailey K Couser | Nurse Practitioner | Quang Trong Le Do Pa | 2550 River Park Plz, Suite 110, Fort Worth, TX 76116-0921 |
| Melissa M Hudson | Family Medicine | Quang Trong Le Do Pa | 2550 River Park Plz, Suite 110, Fort Worth, TX 76116-0921 |
| Le Thao Nguyen | Nurse Practitioner | Quang Trong Le Do Pa | 2550 River Park Plz, Suite 110, Fort Worth, TX 76116-0921 |
| Find all physicians in zip 76116 | |||
| City | FT WORTH |
| Zip Code | 76116 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | FT WORTH + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Alan L Blankenship.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.