Cardiovascular and Thoracic Surgical Associates of East Texas

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

OF1391 Issued in TX

Legal business name

CARDIOVASCULAR AND THORACIC SURGICAL ASSOCIATES OF EAST TEXAS

Practice address

10 Medical Center Blvd
Suite J
Lufkin, TX 75904-3163

Phone

(936) 634-8854

Fax

(936) 634-2305

NPI assigned

Jun 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Blaine Randall Blakestad, MD

Title

Owner

Phone

(936) 634-8854

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710928155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL CENTER BLVD",
            "address_2": "SUITE J",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043163",
            "telephone_number": "936-634-8854",
            "fax_number": "936-634-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL CENTER BLVD",
            "address_2": "SUITE J",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043163",
            "telephone_number": "936-634-8854",
            "fax_number": "936-634-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR AND THORACIC SURGICAL ASSOCIATES OF EAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAKESTAD",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-634-8854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "OF1391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "88G972",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "75904A003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Campbell Urology, P.a.
• Brent Barton Campbell, M.D.
• Jose A Capellan, M.D.
• Patricia Caraway
• Francisco N Cardenas, MD
• Carlton J Lewis DO PA
• Jose Miguel Carranza Chavez, MD
• Joseph Crawford Carriere III, RPH.
• D'Marcus Carroll, PHARMD
• Jason D Carter, MD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.