Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAYNE K STREET, D.O.
ActiveDR. BLAYNE K STREET, D.O. is a Pediatrics healthcare provider located in SWEETWATER, Texas. NPI 1568811636 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · SWEETWATER, TX
Registration Details
- NPI Number
- 1568811636
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2016 (10.003641015089 yrs)
- Last Updated
- Jun 13, 2022
- Licenses
-
S6314 (TX)S6314 (TX)
Practice Information
- Address
-
301 JENNY GEORGE LANEBUILDING B, SUITE 5SWEETWATER, TX, 79556Browse TX providers · Browse ZIP 79556
- Phone
- 3252196175
- Fax
- 3252196179
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in SWEETWATER, TX
| Name | Credential | NPI |
|---|---|---|
| DR. JORDANNA FRANKLIN | M.D. | 1033557442 |
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.