BLAINE JENAE EUBANK


Address: 1314 N Brazos St, Whitney, TX 76692-2010
Phone: 2546943621

BLAINE JENAE EUBANK (NPI# 1598249906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598249906
Entity Type Individual
Full Name BLAINE JENAE EUBANK
Practice Address 1314 N Brazos St
Whitney
TX 76692-2010
Practice Telephone 2546943621
Mailing Telephone 2546943621
Enumeration Date 2018-09-20
Last Update Date 2019-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA12255 TX Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1314 N BRAZOS ST
City WHITNEY
State TX
Zip Code 76692-2010

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700879848 Randall Dale Henderson Family Medicine 1314 N Brazos St, Whitney, TX 76692-2010 2005-08-24
1346632197 Jennifer Peace Allen Nurse Practitioner 1314 N Brazos St, Whitney, TX 76692-2010 2015-03-02
1366862310 Randall Henderson, D.o. Pllc Family Medicine 1314 N Brazos St, Whitney, TX 76692-2010 2014-04-17
1447566211 Family Diagnostic Medical Center, LLP Family Medicine 1314 N Brazos St, Whitney, TX 76692-2010 2010-08-31
1225019615 James D Drees Physician Assistant 1314 N Brazos St, Whitney, TX 76692-2010 2005-11-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629636360 Lauren E Montgomery Physical Therapy Assistant 105 S San Marcos St, Whitney, TX 76692 2019-05-29
1568883239 City of Whitney Ambulance 115 West Jefferson Street, Whitney, TX 76692 2013-12-26
1427300268 Rick E Cofer Dds Pa Dentist 1502 N. Brazos, Whitney, TX 76692 2012-10-03
1104051259 Kiley Aaron Smith Dentist 1502 North Brazos, Whitney, TX 76692 2009-05-19
1043402308 Lakeside Physicians Management LLC Family Medicine 1512 North Brazos, Whitney, TX 76692 2007-08-10
1508063504 Whitney Family Eyecare P.C. Eyewear Supplier (Equipment, not the service) 1221 N. Brazos Street, Suite B, Whitney, TX 76692 2007-07-02
1962624122 Steven W Vaughan Counselor 101 E Washington Ave Ste 125, Whitney, TX 76692 2007-05-03
1588703557 Lake Whitney Physical Therapy PC Physical Therapist 204 East Jefferson, Whitney, TX 76692 2007-02-06
1841339132 Todd J Wagner Physical Therapist 204 E Jefferson, Whitney, TX 76692 2007-02-05
1114083037 Pyramid Healthcare Corp Skilled Nursing Facility 1244 State Park Road, Whitney, TX 76692 2006-12-28
Find all providers in zip 76692

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982258414 Kaitlin Marie Fahey Phillips Physician Assistant 202 E Jefferson Ave, Whitney, TX 76692-2398 2019-08-01
1336546266 Goodall-witcher Hospital Authority Physician Assistant 202 E Jefferson Ave, Whitney, TX 76692-2398 2014-11-20
1891044780 Steven Sean Campbell Physician Assistant 202 E Jefferson Ave, Whitney, TX 76692 2012-09-06
1942319033 Thad Houseman Physician Assistant 202 E Jefferson Ave, Whitney, TX 76692-2398 2006-08-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831704576 Leila Olive Adell Physician Assistant 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 2020-09-10
1619591864 Today Telemedicine Pllc Physician Assistant 404 Oxford St Apt 2219, Houston, TX 77007-2679 2020-06-03
1497384168 Gregory C Etienne Physician Assistant 7400 N 4th St, Mcallen, TX 78504-1859 2020-04-05
1689202475 Theodore Inthaphom Physician Assistant 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 2020-03-29
1740816982 Alyssa Conrad Physician Assistant 4818 Star Jasmine Dr, Austin, TX 78723-6059 2020-03-19
1114558335 Erin Lynn Brown Physician Assistant 1504 Taub Loop Houston, Houston, TX 77030 2020-01-27
1245870930 Jessica Grimaldo Physician Assistant 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 2020-01-09
1730728528 Holli Marie Beard Physician Assistant 2625 Scripture St Ste 101, Denton, TX 76201-2304 2019-12-27
1477191237 Ronald Edwin Brown Physician Assistant 1427 Cypress Point Dr, Gunter, TX 75058-3201 2019-12-11
1053957910 Rossalya Aracely Granda Gutierrez Physician Assistant 4150 N Collins St, Arlington, TX 76005-4547 2019-11-25
Find all providers with the same taxonomy

Competitor

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City WHITNEY
Zip Code 76692

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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