Individual provider · Type 1 NPI
John P. Blakely, DO
Addiction Medicine (Anesthesiology) Physician · San Antonio, TX
NPI number
1619945839
Active
Practice location
3615 Culebra Road
San Antonio, TX 78228
Fax (210) 314-8676
Mailing address
7970 Fredericksburg Rd, Pmb #101-175
San Antonio, TX 78229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology Physician | 207L00000X | 2003007037 (MO) |
| Anesthesiology Physician | 207L00000X | L2144 (TX) |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 2003007037 (MO) |
| Addiction Medicine (Anesthesiology) Physician Primary | 207LA0401X | L2144 (TX) |
Addiction Medicine (Anesthesiology) Physician: An anesthesiologist who specializes in the diagnosis and treatment of addictions.
Another provider at this address
About NPI 1619945839
John P. Blakely, DO's National Provider Identifier is 1619945839, issued on Mar 14, 2006. The primary taxonomy on file is Addiction Medicine (Anesthesiology) Physician (207LA0401X), and the practice location is in San Antonio, TX. The record was last updated on Oct 23, 2024.