Individual
BRETT BLAKEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4242 MEDICAL DR, SUITE 3100, SAN ANTONIO, TX 78229-5640
(210) 615-1187
(210) 614-2180
Mailing address
PO BOX 34717, SAN ANTONIO, TX 78265-4717
(210) 615-1187
(210) 614-2180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
28504
OK
207L00000X
Anesthesiology Physician
DR.0059908
CO
207L00000X
Anesthesiology Physician
Primary
Q2974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3492886-01
—
TX
Enumeration date
06/03/2011
Last updated
04/11/2025
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