BLAKE AUSTIN HARRELL

JBSA LACKLAND, TX
NPI1144782731
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: VA  0102206355)
Enumeration Date2019-04-02
Last Update Date2024-07-22
Business Address
BLAKE AUSTIN HARRELL DO
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-7361
Mailing Address
BLAKE AUSTIN HARRELL DO
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236-5638
Phone number: 102-292-7361
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