BLAINE BLAKESTAD, MD
General Practice
Active
Individual
NPI: 1881641975
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Preventive Medicine - Undersea and Hyperbaric Medicine | 2083P0011X | No | F1391 (TX) |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | No | F1391 (TX) |
| General Practice | 208D00000X | Yes | F1391 (TX) |
Frequently Asked Questions
NPI 1881641975 is the National Provider Identifier for BLAINE BLAKESTAD, MD, a General Practice provider located in Lufkin, TX. This NPI was enumerated on May 27, 2006.
BLAINE BLAKESTAD, MD practices at 1201 W FRANK AVE, Lufkin, TX 75904.
Quick Facts
- NPI
- 1881641975
- Type
- Individual
- Enumerated
- May 27, 2006
- Last Updated
- Sep 29, 2020
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