Philmore Blake Valid NPI

Individual provider · Urology Physician · Lake Jackson, TX

NPI

1316972458

Type

Individual (Type 1)

Primary specialty

Urology Physician (Urology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208800000X

License number

K7246 (TX)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-07-11

Last updated

2015-03-26