Dr KYLE MATTHEW BLAKE is a male medical professional, specializing in Diagnostic Radiology. He graduated in 2008 from Medical College Of Wisconsin.
TEXAS ONCOLOGY PA
4450 SOJOURN DR
SUITE 200
ADDISON
TX
750015000
Tel: 9727330014
| Npi | 1770741977 |
| Pac Id | 4789906793 |
| Professional Enrollment Id | I20141202001928 |
| Last Name | BLAKE |
| First Name | KYLE |
| Middle Name | MATTHEW |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | TEXAS ONCOLOGY PA |
| Group Practice Pac Id | 5395658934 |
| Number Of Group Practice Members | 659 |
| Line 1 Street Address | 4450 SOJOURN DR |
| Line 2 Street Address | SUITE 200 |
| Marker Of Address Line 2 Suppression | |
| City | ADDISON |
| State | TX |
| Zip Code | 750015000 |
| Phone Number | 9727330014 |
| Hospital Affiliation Ccn 1 | 450021 |
| Hospital Affiliation Lbn 1 | BAYLOR UNIVERSITY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 450372 |
| Hospital Affiliation Lbn 2 | BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE |
| Hospital Affiliation Ccn 3 | 450851 |
| Hospital Affiliation Lbn 3 | BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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