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DAVID TYLER BLAKE
NPI 1912847856
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since March 31, 2026
3500 CAMP BOWIE BLVD, FORT WORTH, TX 76107(817) 235-5211 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Tyler Blake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID TYLER BLAKE (NPI 1912847856) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1912847856
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameDAVID TYLER BLAKE
Location Address3500 CAMP BOWIE BLVDFort Worth, TX 76107-2644
Mailing Address2103 Lakehill CtArlington, TX 76012-5613 · (817) 235-5211
Phone(817) 235-5211
Sole ProprietorYes
Enumeration DateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
✔ NPI 1912847856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
3500 CAMP BOWIE BLVD, Fort Worth, TX 76107
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH LAWRENCE MILLER PT, DPT
Physical Therapist
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-5466
NATASHA CHUGH
Student in an Organized Health Care Education/Training Program
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-2000
JORDYN RICKS
Student in an Organized Health Care Education/Training Program
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-2000
CRYSTAL HOWELL PHARMD
Pharmacist
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (512) 694-1275
JORDE ALEXANDRA TRUDEL PA-C
Physician Assistant
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-2301
DR. SARAH JUSTINE PAYNE PHARM.D.
Pharmacist (Pharmacotherapy)
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-0636
ELIZABETH BROWNELL
Student in an Organized Health Care Education/Training Program
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (319) 777-9880
SADAF NELISA RAHMATI
Physician Assistant
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Blake's NPI number?

The NPI number for David Blake is 1912847856. It was assigned to this individual provider in the NPPES registry on March 31, 2026.

Where is David Blake located?

David Blake practices at 3500 Camp Bowie Blvd, Fort Worth, TX 76107. The listed phone number is (817) 235-5211.

What is David Blake's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for David Blake was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.