BLAKE LILES

AUSTIN, TX
NPI1750758355
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP128628)
Enumeration Date2015-08-31
Last Update Date2023-08-15
Business Address
BLAKE LILES
500 N CAPITAL OF TEXAS HWY BLDG 6-125
AUSTIN, TX 78746-3329
Phone number: 855-481-8375
Mailing Address
BLAKE LILES
701 S CAPITAL OF TEXAS HWY STE Q900
WEST LAKE HILLS, TX 78746-5263
Phone number: 512-324-6970
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