Philmore Blake

NPI #1316972458 in Lake Jackson, Texas

Provider Information

NPI Number
1316972458
Entity Type
Individual
Name
Philmore Blake
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Urology
Enumeration Date
Jul 11, 2006
Last Updated
Mar 26, 2015

Practice Location

Address
188 ABNER JACKSON PKWY
State
Texas
ZIP Code
77566-5160
Phone
(979) 297-9488

Specialties & Taxonomy Codes

Specialty
Urology

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