Individual
JOHN P BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3615 CULEBRA ROAD, SAN ANTONIO, TX 78228
(210) 314-6473
(210) 314-8676
Mailing address
7970 FREDERICKSBURG RD, PMB #101-175, SAN ANTONIO, TX 78229
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2003007037
MO
207L00000X
Anesthesiology Physician
L2144
TX
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
L2144
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
2003007037
MO
Other
Enumeration date
03/14/2006
Last updated
10/23/2024
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