Search › Texas › General Practice Physician
Blaine Blakestad, MD
NPI 1881641975 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1201 W Frank Ave
Lufkin, TX 75904 - Phone
- (936) 639-7696
- Fax
- (936) 639-7352
- Organisation at this address
- Adra Etho
Lmb Crna, Pllc
Mhi Clinical Services
Waypoint Psychiatry, Pllc
Blaine Randall Blakestad Md PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 52
Registry record
- Primary taxonomy
- General Practice Physician
208D00000X
- Also registered as
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician - Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-29
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