Sutton, Blake Aaron

Sutton, Blake Aaron is an sole proprietor health care provider with primary practice located at 3800 S W S Young Dr Ste 201 , Killeen TX 76542-3340. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Sutton, Blake Aaron can be contacted via phone (254) 245-9175.

Contact Information

Primary practice address
3800 S W S Young Dr Ste 201 Killeen TX 76542-3340
Phone: (254) 245-9175
Fax: (254) 213-7771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X Q9253 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X Q9253 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X BP10043700 Texas

Profile Details

NPI number 1740540814
LBN Legal business name Sutton, Blake Aaron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2012
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740540814 NPPES
Texas MEDICAID 368548903

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