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Dr. Brian Kelly Blake, DO
Emergency Medicine Physician in Dallas, Texas
NPI 1952578064

Brian Kelly Blake is a Emergency Medicine Physician based in Dallas, TX. Brian Kelly Blake practices in Dallas, TX and has the professional credentials of DO. The NPI Number for Brian Kelly Blake is 1952578064 and holds a License No. (Texas).

The current practice location address for Brian Kelly Blake is 1717 Main St, Dallas, TX and can be reached out via phone at 800-362-2731 and via fax at 214-712-2444.

Location: 1717 Main St, Dallas, TX, 75201-4612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952578064
Provider Name
Brian Kelly Blake
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1717 Main St, Dallas, TX, 75201-4612
Phone Number
800-362-2731
Fax Number
214-712-2444
Provider Enumeration Date
05/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1717 Main St
City
Dallas
State
Texas
Zip
75201-4612
Phone Number
800-362-2731
Fax Number
214-712-2444
person
Provider Business Mailing Address Details
Address
1717 Main St
City
Dallas
State
Texas
Zip
75201-4612
Phone Number
800-362-2731
Fax Number
214-712-2444
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
N9813 (Texas)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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