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Contact Information

BLAKE B OLAVIN, MD
409 COLONY DR
SUITE 402
CORPUS CHRISTI, TX78412-2674
 Phone: 361-883-1731
 Fax: 361-883-1440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Diagnostic Neuroimaging

2084D0003X 86 Physician/Neuropsychiatry
 

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
 

Pain Medicine

2084P2900X 86 Physician/Neuropsychiatry
 

Sleep Medicine

2084S0012X 86 Physician/Neuropsychiatry
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for BLAKE B OLAVIN · (Male)

NPI # 1093709578
Status Active
Credentials MD
Entity Individual
Enumeration date 09/09/2005
Last updated 12/13/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • TX License # E3392
  • TX Medicaid 129235102
  • TX Other 812585 BCBS
  • TX Other 130010206 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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