Blevins, John Ray
Blevins, John Ray is an individual health care provider with primary practice located at 2200 W Illinois Ave , Midland TX 79701-6407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Blevins, John Ray can be contacted via phone (432) 685-1111.Contact Information
Primary practice address
2200 W Illinois Ave
Midland TX 79701-6407
Phone: (432) 685-1111
Fax: (432) 686-5353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N4302 | Texas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | N4302 | Texas |
Profile Details
| NPI number | 1649438730 |
|---|---|
| LBN Legal business name | Blevins, John Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2008 |
| Last updated | Feb 23rd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649438730 | NPPES |
| Texas | MEDICAID | 217214002 | |
| Texas | Other | P01076708 |
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