Search › Texas › 208000000X
Blayne Street, D.O
NPI 1568811636 · on the registry since 2016
Practice
- Address
- 301 Jenny George Lane
Building B, Suite 5
Sweetwater, TX 79556 - Phone
- (325) 219-6175
- Fax
- (325) 219-6179
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 207QS0010X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas