Cardiovascular and Thoracic Surgical Associates of East Texas

NPI #1710928155 in Lufkin, Texas

Provider Information

NPI Number: 1710928155
Entity Type: Organization
Organization Name: Cardiovascular and Thoracic Surgical Associates of East Texas
Primary Specialty: Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date: Jun 9, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 10 MEDICAL CENTER BLVD
Address 2: SUITE J
City: Lufkin
State: Texas
ZIP Code: 75904-3163
Phone: (936) 634-8854

Authorized Official

Name: DR. BLAINE RANDALL BLAKESTAD, MD
Title: OWNER
Phone: (936) 634-8854

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X	Primary

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