Individual
DR. ANN BLAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-4979
(409) 772-3695
(832) 340-2350
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265
(409) 747-6240
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N8017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286529701
—
TX
01
—
7867011
AETNA
TX
01
—
8CW743
BCBS
TX
01
—
9150513
CIGNA
TX
Enumeration date
05/23/2006
Last updated
12/07/2022
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