Blake, Christy

Blake, Christy is an individual health care provider with primary practice located at 1400 Coulter , Amarillo TX 79106-1786. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Blake, Christy can be contacted via phone (806) 354-5630.

Contact Information

Primary practice address
1400 Coulter Amarillo TX 79106-1786
Phone: (806) 354-5630
Fax: (806) 354-5689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 234120 Texas

Profile Details

NPI number 1821020033
LBN Legal business name Blake, Christy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jun 5th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821020033 NPPES
Texas MEDICAID 089409901
Texas MEDICAID 100186480A
Texas MEDICAID S8769

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