Blakely, James Phillip

Blakely, James Phillip is an individual health care provider with primary practice located at 529 N Galloway Ave Suite 16, Mesquite TX 75149-3420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Blakely, James Phillip can be contacted via phone (972) 216-4411.

Contact Information

Primary practice address
529 N Galloway Ave Suite 16 Mesquite TX 75149-3420
Phone: (972) 216-4411
Fax: (972) 216-0533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E9544 Texas

Profile Details

NPI number 1962499152
LBN Legal business name Blakely, James Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jul 24th, 2008 - about 16 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 1962499152 NPPES
Texas Other 300126786 RAILROAD MEDICARE
Texas Other 8G2805 RAILROAD MEDICARE
Texas Other B011 RAILROAD MEDICARE
Texas MEDICAID 116861904 RAILROAD MEDICARE

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