Blaine Andrade

NPI 1841049426 · on the registry since 2024 · sole proprietor

Practice

Address: 14400 Bogert Pkwy
Oklahoma City, OK 73134
Phone: (844) 346-7366
Organisation at this address: Oklahoma City Vamc
Life Change Outpatient, Llc
Hope Is Alive Ministries Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 33

Registry record

Primary taxonomy: 175T00000X
175T00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-05-15

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 Oklahoma