Blakley, Olga Pavlovna
Blakley, Olga Pavlovna is an individual health care provider with primary practice located at 1500 Citywest Blvd Ste. 300, Houston TX 77042-2300. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Blakley, Olga Pavlovna can be contacted via phone (713) 620-4000.Contact Information
Primary practice address
1500 Citywest Blvd Ste. 300
Houston TX 77042-2300
Phone: (713) 620-4000
Fax: (713) 458-4229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036146751 | Illinois |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | L9627 | Texas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | E4506 | Arkansas |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A86519 | California |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | E4506 | Arkansas |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 17235 | Mississippi |
Profile Details
| NPI number | 1538148341 |
|---|---|
| LBN Legal business name | Blakley, Olga Pavlovna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Jan 24th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538148341 | NPPES |
| Texas | MEDICAID | 186548713 | |
| Texas | Other | 214881 | |
| Texas | Other | 8FW599 | |
| Texas | Other | P01745927 |
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