Mr Douglas Lee Blake, PA-C - Family Medicine in Arlington, TX

Mr Douglas Lee Blake, PA-C is a Family Medicine physician based in Arlington, Texas. Mr Douglas Lee Blake is licensed to practice in Texas (license number PA05784) and his current practice location is 210 W South St, Arlington, Texas. He can be reached at his office (for appointments etc.) via phone at (817) 277-9597.

NPI number for Mr Douglas Lee Blake is 1871023051 and his current mailing address is Po Box 2031, Fort Worth, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871023051.

Contact Information

Mr Douglas Lee Blake, PA-C
210 W South St,
Arlington, TX 76010-7134
(817) 277-9597
(817) 277-3388

Map and Direction




Physician's Profile

Full NameMr Douglas Lee Blake
GenderMale
SpecialityFamily Medicine
Location210 W South St, Arlington, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871023051
  • Provider Enumeration Date: 06/19/2017
  • Last Update Date: 06/19/2017

Medical Identifiers

Medical identifiers for Mr Douglas Lee Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871023051NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine PA05784 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Douglas Lee Blake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Douglas Lee Blake, PA-C
Po Box 2031,
Fort Worth, TX 76113-2031

Ph: (817) 845-3587
Mr Douglas Lee Blake, PA-C
210 W South St,
Arlington, TX 76010-7134

Ph: (817) 277-9597

Reviews and Comments


Family Medicine Doctors in Arlington, TX

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