Harrell, Blake Austin
Harrell, Blake Austin is an individual health care provider with primary practice located at 1100 Wilford Hall Loop , Jbsa Lackland Afb TX 78236-5638. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Harrell, Blake Austin can be contacted via phone (210) 292-7361.Contact Information
Primary practice address
1100 Wilford Hall Loop
Jbsa Lackland Afb TX 78236-5638
Phone: (210) 292-7361
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0102206355 | Virginia |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 0102206355 | Virginia |
Profile Details
| NPI number | 1144782731 |
|---|---|
| LBN Legal business name | Harrell, Blake Austin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2019 |
| Last updated | May 15th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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