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Kyle Matthew Blake, MD
Diagnostic Radiology Physician in Irving, Texas
NPI 1770741977

Kyle Matthew Blake is a Diagnostic Radiology Physician based in Irving, TX and is specialized in Diagnostic Radiology. Kyle Matthew Blake practices in Irving, TX and has the professional credentials of MD. The NPI Number for Kyle Matthew Blake is 1770741977 and holds a License No. Q1362 (Texas).

The current practice location address for Kyle Matthew Blake is 102 Decker Ct, Irving, TX and can be reached out via phone at 972-906-6250.

Location: 102 Decker Ct, Irving, TX, 75062-2740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770741977
Provider Name
Kyle Matthew Blake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
102 Decker Ct, Irving, TX, 75062-2740
Phone Number
972-906-6250
Fax Number
Provider Enumeration Date
05/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
341545705 05 TX
Q1362 01 TX LICENSE
institution
Provider Business Practice Location Address Details
Address
102 Decker Ct
City
Irving
State
Texas
Zip
75062-2740
Phone Number
972-906-6250
Fax Number
person
Provider Business Mailing Address Details
Address
102 Decker Ct
City
Irving
State
Texas
Zip
75062-2740
Phone Number
972-906-6250
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
Q1362 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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