Individual
BLAKE AUSTIN HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND AFB, TX 78236-5638
(210) 292-7361
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(102) 292-7361
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0102206355
VA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0102206355
VA
Other
Enumeration date
04/02/2019
Last updated
05/15/2025
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