O'Lavin, Blake B
O'Lavin, Blake B is an individual health care provider with primary practice located at 409 Colony Dr Suite 402, Corpus Christi TX 78412-2674. He recently has 8 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. O'Lavin, Blake B can be contacted via phone (361) 883-1731.Contact Information
Primary practice address
409 Colony Dr Suite 402
Corpus Christi TX 78412-2674
Phone: (361) 883-1731
Fax: (361) 883-1440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | E3392 | Texas |
| Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | E3392 | Texas |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | E3392 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging | 2084D0003X | E3392 | Texas |
| Allopathic & Osteopathic Physicians / Neuromuscular Medicine | 2084N0008X | E3392 | Texas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | E3392 | Texas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | E3392 | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | E3392 | Texas |
Profile Details
| NPI number | 1093709578 |
|---|---|
| LBN Legal business name | O'Lavin, Blake B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Dec 13th, 2016 - about 8 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 | 1093709578 | NPPES |
| Texas | MEDICAID | 129235102 | |
| Texas | Other | 130010206 | |
| Texas | Other | 812585 |
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