OrganizationActive
Blaine Randall Blakestad MD PA
NPI 1124346598 · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Lufkin, TX
Provider details
- NPI number
- 1124346598
- Entity type
- Organization
- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Blaine Blakestad, President(936) 632-5894
- License
- F1391 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1201 W Frank Ave
Lufkin, TX 75904-3357
Phone: (936) 634-8111
Approximate (ZIP-level) locationGet directions
Mailing address
702 Brentwood Dr
Lufkin, TX 75901-8853
Registry dates
- Enumerated
- 2010-05-11
- Last updated
- 2010-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.