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Blaine Randall Blakestad, MD
General Practice Physician in Lufkin, Texas
NPI 1881641975

Blaine Randall Blakestad is a General Practice Physician based in Lufkin, TX. Blaine Randall Blakestad practices in Lufkin, TX and has the professional credentials of MD. The NPI Number for Blaine Randall Blakestad is 1881641975 and holds a License No. F1391 (Texas).

The current practice location address for Blaine Randall Blakestad is 1201 W Frank Ave, Lufkin, TX and can be reached out via phone at 936-639-7696 and via fax at 936-639-7352.

Location: 1201 W Frank Ave, Lufkin, TX, 75901-8853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881641975
Provider Name
Blaine Randall Blakestad
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1201 W Frank Ave, Lufkin, TX, 75901-8853
Phone Number
936-639-7696
Fax Number
936-639-7352
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
214434701 05 TX
8F6127 01 TX BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1201 W Frank Ave
City
Lufkin
State
Texas
Zip
75904-3357
Phone Number
936-639-7696
Fax Number
936-639-7352
person
Provider Business Mailing Address Details
Address
1201 W Frank Ave
City
Lufkin
State
Texas
Zip
75904-3357
Phone Number
936-639-7696
Fax Number
936-639-7352
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Undersea and Hyperbaric Medicine
Taxonomy
2083P0011X
License No.
F1391 (Texas)
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
F1391 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
F1391 (Texas)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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