Blaine Randall Blakestad MD PA
Blaine Randall Blakestad MD PA provides Undersea and Hyperbaric Medicine (Preventive Medicine) Physician services in Lufkin, Texas. Licensed in Texas. Registered with an NPI since 2010.
- Licensed in
- TX
- In the registry since
- 2010
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1201 W Frank AveLufkin, TX 75904-3357 Not confirmed with CMS for 16 years — call before visiting
Phone: (936) 634-8111
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician (primary) | Taxonomy 2083P0011X · Licence F1391 (TX) |
|---|
Record details
| NPI number | 1124346598 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Blaine Blakestad — President · (936) 632-5894 |
| NPI enumerated | May 11, 2010 |
| Last updated in NPPES | September 9, 2010 |
| Mailing address | 702 Brentwood Dr, Lufkin, TX 75901-8853 |
Other providers in Lufkin
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Blaine Randall Blakestad, MD
1201 W Frank Ave, Lufkin, TX 75904-3357 · (936) 639-7696