Kyle Matthew Blake M.D.

NPI 1770741977 - Radiology - 2085R0202X

NPI Details
NPI 1770741977
Gender Male
Enumeration Date 05/26/2008
Last Updated 09/08/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
102 DECKER CT
SUITE 205
IRVING TX, 75062-2740, US
Phone (972) 906-6250
Fax
Business Location
102 DECKER CT
SUITE 205
IRVING TX, 75062-2740, US
Phone (972) 906-6250
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State Texas
License Number Q1362
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According to our database, Kyle Matthew Blake M.D. NPI is 1770741977, taxonomy code is 2085R0202X and license number is Q1362, license state is located at Texas. Kyle Matthew Blake M.D. physically located at 102 Decker Ct, Irving TX, 75062-2740. NPI Number Kyle Matthew Blake M.D. has the Individual type.

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1770741977 NPI number is provided on an as is basis without warranty of any kind. 1770741977 is maintained by the National Plan & Provider Enumeration System. The contents of Kyle Matthew Blake M.D. are for informational purposes only.