Blake Wiley Palmer
Urologist Pediatric Urologist
750 8th Ave Fl 6
Fort Worth
, Texas 76104-2515
Blake Wiley Palmer
Urologist Pediatric Urologist
750 8th Ave Fl 6
Fort Worth
, Texas 76104-2515
(682) 885-1396
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About
Features
Specialties
- Urologist
- Pediatric Urologist
Languages spoken
- English
Location
First Address
- Blake Wiley Palmer
- Po Box 733784
- Dallas, TX
- Zip : 75373-3784
- Fax : (682) 885-1396
- Phone : (682) 885-1855
Second Address
- Blake Wiley Palmer
- 750 8th Ave Fl 6
- Fort Worth, TX
- Zip : 76104-2515
- Fax : (682) 303-0377
- Phone : (682) 303-0376
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208800000X | Urologist | 24580 | OK |
| N | 2088P0231X | Pediatric Urologist | 24580 | OK |
| Y | 2088P0231X | Pediatric Urologist | R0090 | TX |
National Provider Identifier
| NPI | 1013066398 |
|---|---|
| Provider Name | Blake Wiley Palmer |
| First Address | Dallas, TX 75373-3784 |
| Second Address | Fort Worth, TX 76104-2515 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2007 |
| Last Update Date | 14/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.