DR. BLAKE B O'LAVIN M.D. NPI 1093709578

NPI Information

NPI: 1093709578
Provider Name: DR. BLAKE B O'LAVIN, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
409 COLONY DR
SUITE 402
CORPUS CHRISTI, TX
ZIP 78412
Phone: (361) 883-1731
Get Directions

DR. Blake B O'lavin, M.D. is a neurology psychiatry neurology in Corpus Christi, TX. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Blake B O'lavin, M.D. NPI is 1093709578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

409 COLONY DR
SUITE 402
CORPUS CHRISTI, TX
ZIP 78412-674
Phone: (361) 883-1731
Fax: (361) 883-1440

The NPI 1093709578 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/9/2005 and was last updated on 12/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		E3392	TEXAS	No
2	2084N0400X	Psychiatry & Neurology	Neurology	E3392	TEXAS	Yes
3	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	E3392	TEXAS	No
4	2084P2900X	Psychiatry & Neurology	Pain Medicine	E3392	TEXAS	No
5	2084B0040X	Psychiatry & Neurology	Behavioral Neurology & Neuropsychiatry	E3392	TEXAS	No
6	2084N0008X	Psychiatry & Neurology	Neuromuscular Medicine	E3392	TEXAS	No
7	2084S0012X	Psychiatry & Neurology	Sleep Medicine	E3392	TEXAS	No
8	2084D0003X	Psychiatry & Neurology	Diagnostic Neuroimaging	E3392	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	129235102	MEDICAID	TEXAS
2	130010206	OTHER	TEXAS	RAILROAD MEDICARE
3	812585	OTHER	TEXAS	BCBS
4	B25252	MEDICARE UPIN	TEXAS
5	00T631	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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