Individual provider · Type 1 NPI

Justin M. Blakley, M.S., DO

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1295589661 Active

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Call (903) 820-8584 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X1477807436 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295589661

Justin M. Blakley, M.S., DO's National Provider Identifier is 1295589661, issued on Apr 12, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Apr 12, 2024.