| Christopher John Blewett, MD | |
|
400 Harborside Dr, Ste 103, Galveston, TX 77555-0001 | |
| (097) 723-6954 | |
| (409) 772-3680 |
| Full Name | Christopher John Blewett |
|---|---|
| Gender | Male |
| Speciality | Surgery - Pediatric Surgery |
| Location | 400 Harborside Dr, Galveston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477524502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | L7669 (Texas) | Secondary |
| 2086S0120X | Surgery - Pediatric Surgery | L7669 (Texas) | Primary |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher John Blewett, MD Po Box 650859, Dept. 710, Dallas, TX 75265-0859 Ph: (409) 772-2222 | Christopher John Blewett, MD 400 Harborside Dr, Ste 103, Galveston, TX 77555-0001 Ph: (097) 723-6954 |
Dr. Jennifer Ann Minneman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-1011 Fax: 409-772-4456 | |
Danielle Rogan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-8119 | |
Dr. Ravi Radhakrishnan, MD Surgery Medicare: Medicare Enrolled Practice Location: 301 University Blvd., Galveston, TX 77555 Phone: 409-772-5666 Fax: 409-772-4253 | |
Mohammadali Mohajel Shoja, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-1369 | |
Joseph Patrick Kearney Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Rt 1022, Galveston, TX 77555 Phone: 409-772-2222 | |
Carlos Gabriel Chavez, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-0531 Fax: 409-772-0557 | |
Juliano Lentz Carvalho, MD Surgery Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-0531 |