Individual
BLAKE EDWARD LANE BERKENBILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4961 LONG PRAIRIE RD STE 110, FLOWER MOUND, TX 75028-2794
(800) 975-3859
Mailing address
4321 BARNSLEY DR, PLANO, TX 75093-3244
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
—
TX
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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