Dr. Bryan O Blevins
Dentist - General Practice Oral and Maxillofacial Pathology
1810 Champions Dr
Lufkin
, Texas 75901-7454
Dr. Bryan O Blevins
Dentist - General Practice Oral and Maxillofacial Pathology
1810 Champions Dr
Lufkin
, Texas 75901-7454
(936) 634-1343
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About
Features
Specialties
- General Practice
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Bryan O Blevins
- 1810 Champions Dr
- Lufkin, TX
- Zip : 75901-7454
- Fax : (936) 634-1343
- Phone : (936) 634-1334
Second Address
- Dr. Bryan O Blevins
- 1810 Champions Dr
- Lufkin, TX
- Zip : 75901-7454
- Fax : (936) 634-1343
- Phone : (936) 634-1334
Reviews
FAQs
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Is Dr. Bryan O Blevins a sole practitioner?
Is Dr. Bryan O Blevins accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 7915 | TX |
| Y | 213EG0000X | General Practice | 7915 | TX |
| N | 1223P0106X | Oral and Maxillofacial Pathology | 7915 | TX |
National Provider Identifier
| NPI | 1952312316 |
|---|---|
| Provider Name | Dr. Bryan O Blevins |
| First Address | Lufkin, TX 75901-7454 |
| Second Address | Lufkin, TX 75901-7454 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2006 |
| Last Update Date | 05/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 751216077 | TAX IDENTIFICATION (01) | TX |
| D07915 | BLUE CROSS BLUE SHIELD ID (01) | TX |
| U66128 | (02) | TX |
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.