Individual
JAY BLASINGAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3101 GARRETT DR, PERRYTON, TX 79070-5323
(806) 435-3606
Mailing address
3101 GARRETT DR, PERRYTON, TX 79070-5323
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
S5123
TX
Other
Enumeration date
04/08/2015
Last updated
09/22/2020
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