Individual
DR. GAIL ELIZABETH BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 ENCLAVE PKWY, SUITE 200, HOUSTON, TX 77077-1764
(800) 444-5628
Mailing address
2626 N MESA ST, #331, EL PASO, TX 79902-3172
(915) 533-8753
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
75-114
NM
2085R0202X
Diagnostic Radiology Physician
Primary
G2327
TX
2085R0202X
Diagnostic Radiology Physician
G37472
CA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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