Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILMORE BLAKE
Active Sole ProprietorPHILMORE BLAKE is a Urology healthcare provider located in LAKE JACKSON, Texas. NPI 1316972458 is currently active in the NPPES registry. Verify at CMS.
Urology · LAKE JACKSON, TX
Registration Details
- NPI Number
- 1316972458
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2006 (20.119630139833 yrs)
- Last Updated
- Mar 26, 2015
- License
-
K7246 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
188 ABNER JACKSON PKWYLAKE JACKSON, TX, 775665160Browse TX providers · Browse ZIP 77566
- Phone
- 9792979488
- Fax
- 9792979185
- Primary Specialty
-
Urology
208800000X
Other Urology Providers in LAKE JACKSON, TX
| Name | Credential | NPI |
|---|---|---|
| DR. WILMER BURTON ROBERTS | MD, PH.D. | 1346391653 |
| DR. ALISA MARIE BERGER | M.D. | 1619017043 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.