| 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 |