Blake B O'Lavin in Corpus Christi - Clinical Neurophysiology
Blake B O'Lavin - NPI 1093709578
Blake B O'Lavin is a Clinical Neurophysiology in Corpus Christi, Texas. Blake B O'Lavin practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Blake B O'Lavin is 1093709578. The last update date is 2016-12-13.
Blake B O'Lavin's current location address is 409 Colony Dr, Corpus Christi, Texas. You can contact this provider via phone number 3618831731 and fax number 3618831440. The mailing address for Blake B O'Lavin is 409 Colony Dr, Corpus Christi, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Blake B O'Lavin |
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Address | 409 Colony Dr, Corpus Christi, Texas |
Phone Number | 3618831731 |
Fax Number | 3618831440 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1093709578 |
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Provider Enumeration Date | 2005-09-09 |
Last Updated Date | 2016-12-13 |
Provider Mailing Address Detail
Address | 409 Colony Dr |
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City | Corpus Christi |
State | Texas (TX) |
Post Code | 784122674 |
Phone Number | 3618831731 |
Fax Number | 3618831440 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neurophysiology |
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Taxonomy | 2084N0600X |
Licence No | E3392 |
Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
129235102 | TX | -- | |
130010206 | TX | RAILROAD MEDICARE | |
812585 | TX | BCBS |
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What is the Blake B O'Lavin's unique identification number?
The Blake B O'Lavin has been assigned the NPI (National Provider Identifier) Number 1093709578 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is Blake B O'Lavin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Blake B O'Lavin is Clinical Neurophysiology, and the taxonomy code that categorizes this field of expertise is 2084N0600X.
When did the Blake B O'Lavin receive its 1093709578?
The Blake B O'Lavin was issued its 1093709578 on 2005-09-09, which is the date when the organization was assigned this unique identifier.
On what date did the Blake B O'Lavin receive its 1093709578 assignment from the Centers for Medicare & Medicaid Services?
The Blake B O'Lavin was assigned its 1093709578 by the Centers for Medicare & Medicaid Services on 2005-09-09.
As of what date were the Blake B O'Lavin's details last updated?
The information pertaining to the Blake B O'Lavin, including its address, specialty, and other details, was most recently updated on 2016-12-13.
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