Philmore Blake, | |
188 Abner Jackson Pkwy, Lake Jackson, TX 77566-5160 | |
(979) 297-9488 | |
(979) 297-9185 |
Full Name | Philmore Blake |
---|---|
Gender | Male |
Speciality | Urology |
Location | 188 Abner Jackson Pkwy, Lake Jackson, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316972458 | NPI | - | NPPES |
0315798-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | K7246 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Philmore Blake, 188 Abner Jackson Pkwy, Lake Jackson, TX 77566-5160 Ph: (979) 297-9488 | Philmore Blake, 188 Abner Jackson Pkwy, Lake Jackson, TX 77566-5160 Ph: (979) 297-9488 |
Dr. Wilmer Burton Roberts, MD, PH.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 210 Lake Rd Ste 200, Lake Jackson, TX 77566 Phone: 979-299-0011 | |
Dr. Alisa Marie Berger, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 115 Abner Jackson Pkwy Ste C, Lake Jackson, TX 77566 Phone: 979-297-4140 Fax: 979-297-4919 |