Individual
DR. JOHN BLAKELY MYRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 S MCCARTY AVE, EAGLE LAKE, TX 77434-3212
(979) 234-3525
Mailing address
700 S MCCARTY AVE, EAGLE LAKE, TX 77434-3212
(979) 234-3525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15747
TX
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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