Blaine Randall Blakestad Md Pa

LBN: Blaine Randall Blakestad Md Pa
Blaine Randall Blakestad Md Pa is an health care organization with primary practice located at 1201 W Frank Ave , Lufkin TX 75904-3357. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as the primary health care specialty. Blaine Randall Blakestad Md Pa can be contacted via phone (936) 634-8111, or through Blakestad, Blaine Randall via phone (936) 632-5894.

Contact Information

Primary practice address
1201 W Frank Ave Lufkin TX 75904-3357
Phone: (936) 634-8111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blakestad, Blaine Randall Doctor of Medicine (MD)
Phone: (936) 632-5894

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X F1391 Texas

Profile Details

NPI number 1124346598
LBN Legal business name Blaine Randall Blakestad Md Pa
DBA Doing business as
Authorized official Blakestad, Blaine Randall Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2010
Last updated Sep 9th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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