BLAKE A WATSON


Address: 627 Turtle Creek Dr, Tyler, TX 75701-1832
Phone: 9035932539

BLAKE A WATSON (NPI# 1578879151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578879151
Entity Type Individual
Full Name BLAKE A WATSON
Credential MD
Practice Address 627 Turtle Creek Dr
Tyler
TX 75701-1832
Practice Telephone 9035932539
Practice Fax Number 9035930559
Mailing Telephone 9035932539
Mailing Fax Number 9035930559
Enumeration Date 2010-08-20
Last Update Date 2016-07-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
P7226 TX Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD 60162729 WA Allopathic & Osteopathic Physicians

Office Location

Street Address 627 TURTLE CREEK DR
City TYLER
State TX
Zip Code 75701-1832

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477554673 James F. Cabell IIi Radiology 627 Turtle Creek Dr, Tyler, TX 75701-1832 2005-08-10
1487110474 Jonathan David Dickson Physician Assistant 627 Turtle Creek Dr, Tyler, TX 75701-1832 2019-02-14
1861933954 Sabra L Dixon Physician Assistant 627 Turtle Creek Dr, Tyler, TX 75701-1832 2017-03-09
1568914984 Ariel Hortillosa Temporal Physician Assistant 627 Turtle Creek Dr, Tyler, TX 75701-1832 2016-11-02
1811323108 Tori Burns Physician Assistant 627 Turtle Creek Dr, Tyler, TX 75701-1832 2013-09-19
1285926659 Justin D Sacks Radiology 627 Turtle Creek Dr, Tyler, TX 75701 2011-05-04
1689963357 Jose Luis Enriquez Radiology 627 Turtle Creek Dr, Tyler, TX 75701-1832 2011-04-04
1093016487 Marta D Stanley Physician Assistant 627 Turtle Creek Dr, Tyler, TX 75701-1832 2010-11-16
1104141399 Eric Weissmann Radiology 627 Turtle Creek Dr, Tyler, TX 75701-1832 2010-03-31
1487828596 Charles D. Crum Radiology 627 Turtle Creek Dr, Tyler, TX 75701-1832 2008-04-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962057059 Gonzalo Fernandez Physical Therapy Assistant 753 S Beckham Ave, Tyler, TX 75701 2019-08-06
1215422654 Adrianna Bussell Nurse Practitioner 1000 South Beckham, Tyler, TX 75701 2018-06-28
1285128017 Idowu Akintokunbo Akinyele Dentist Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 2018-06-15
1992208912 Heather Renee Vancleave Occupational Therapy Assistant 1228 Louann Lane, Tyler, TX 75701 2018-03-15
1497260533 Smile Workshop Mckinney, Pllc Dentist 301 N. Custer Rd, Mckinney, TX 75701 2017-12-12
1396266441 Eye Surgery Center of East Texas, Pllc Clinic/Center 2448 E 5th St, Tyler, TX 75701 2017-06-29
1962936369 Collins Complete Family Care Nurse Practitioner 1910 E Se Loop 323 # 176, Tyler, TX 75701 2017-04-12
1386187052 Fellowship Health Team LLC Home Health 1124 S Fleishel Ave, Tyler, TX 75701 2016-11-29
1205382454 Brenton Robinson Nurse Practitioner 1100 East Lake St, 160, Tyler, TX 75701 2016-08-28
1851846208 Care First Pharmacy, LLC Pharmacy 1910 Roseland Blvd A, Tyler, TX 75701 2016-08-15
Find all providers in zip 75701

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518220367 Beurett Alexander King Jr. Radiology 1517 Cold Water Dr, Tyler, TX 75703-0937 2012-06-18
1093039539 Melinda Faye Coker Radiology 910 E Houston St Ste 650, Tyler, TX 75702 2010-03-25
1548219025 Sonowave Inc. Radiology 417 S Chilton Ave, Tyler, TX 75702-8017 2006-05-10
1427019447 Ralph A Gutierrez Radiology 1021 E Watkins St, Tyler, TX 75701-7120 2006-03-29
1164495974 Joe Buck Caldwell Radiology 520 East Douglas Blvd, Tyler, TX 75702 2006-02-10
1477554673 James F. Cabell IIi Radiology 627 Turtle Creek Dr, Tyler, TX 75701-1832 2005-08-10
1871594697 Modified Barium Swallow Service, P.a. Radiology 3724 Fm 346 E, Tyler, TX 75703-8340 2005-08-02
1962814798 Justin Mccaslin Radiology 1000 S Beckham Ave, Tyler, TX 75701-1908 2014-05-28
1689963357 Jose Luis Enriquez Radiology 627 Turtle Creek Dr, Tyler, TX 75701-1832 2011-04-04
1982923975 Shannon B. Glass Radiology 11937 Us Highway 271, Tyler, TX 75708 2010-05-31
Find all providers in TYLER

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City TYLER
Zip Code 75701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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