Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAINE RANDALL BLAKESTAD, MD
Active Sole ProprietorBLAINE RANDALL BLAKESTAD, MD is a General Practice healthcare provider located in LUFKIN, Texas. NPI 1881641975 is currently active in the NPPES registry. Verify at CMS.
General Practice · LUFKIN, TX
Registration Details
- NPI Number
- 1881641975
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2006 (20.247943343154 yrs)
- Last Updated
- Sep 29, 2020
- Licenses
-
F1391 (TX)F1391 (TX)F1391 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1201 W FRANK AVELUFKIN, TX, 759043357Browse TX providers · Browse ZIP 75904
- Phone
- 9366397696
- Fax
- 9366397352
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- Thoracic Surgery (Cardiothoracic Vascular)
- Additional Specialty
- General Practice
Other General Practice Providers in LUFKIN, TX
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES E SAXTON | MD | 1477645547 |
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.