DOUGLAS LEE BLAKE

ARLINGTON, TX
NPI1871023051
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  PA05784)
Enumeration Date2017-06-19
Last Update Date2017-06-19
Business Address
Mr. DOUGLAS LEE BLAKE PA-C
210 W SOUTH ST
ARLINGTON, TX 76010-7134
Phone number: 817-277-9597
Mailing Address
Mr. DOUGLAS LEE BLAKE PA-C
PO BOX 2031
FORT WORTH, TX 76113-2031
Phone number: 817-845-3587
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