IndividualActive
John Blakely, DO
NPI 1619945839 · Addiction Medicine (Anesthesiology) Physician · San Antonio, TX
Provider details
- NPI number
- 1619945839
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 2003007037 (MO)
Practice location
3615 Culebra Road
San Antonio, TX 78228
Phone: (210) 314-6473
Fax: (210) 314-8676
Mailing address
7970 Fredericksburg Rd
San Antonio, TX 78229
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2024-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.