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Contact Information

DESTINY M BLAKE
13611 PERRY RD APT 4105
HOUSTON, TX77070-4587
 Phone: 443-397-6352
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for DESTINY M BLAKE · (Female)

NPI # 1588547269
Status Active
Credentials
Entity Individual
Enumeration date 07/29/2025
Last updated 07/29/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 51878390
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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