Individual
DR. BLAKE B O'LAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 COLONY DR, SUITE 402, CORPUS CHRISTI, TX 78412-2674
(361) 883-1731
(361) 883-1440
Mailing address
409 COLONY DR, SUITE 402, CORPUS CHRISTI, TX 78412-2674
(361) 883-1731
(361) 883-1440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
E3392
TX
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
E3392
TX
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
E3392
TX
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
E3392
TX
2084N0400X
Neurology Physician
Primary
E3392
TX
2084N0600X
Clinical Neurophysiology Physician
E3392
TX
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
E3392
TX
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
E3392
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129235102
—
TX
01
—
130010206
RAILROAD MEDICARE
TX
01
—
812585
BCBS
TX
Enumeration date
09/09/2005
Last updated
12/13/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us