Provider Demographics
NPI:1699956052
Name:D. BLAYNE LAWS, M.D., P.A.
Entity type:Organization
Organization Name:D. BLAYNE LAWS, M.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:D.
Authorized Official - Middle Name:BLAYNE
Authorized Official - Last Name:LAWS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-875-6700
Mailing Address - Street 1:717 W LAMPASAS ST
Mailing Address - Street 2:
Mailing Address - City:ENNIS
Mailing Address - State:TX
Mailing Address - Zip Code:75119-4533
Mailing Address - Country:US
Mailing Address - Phone:972-875-6700
Mailing Address - Fax:
Practice Address - Street 1:717 W LAMPASAS ST
Practice Address - Street 2:
Practice Address - City:ENNIS
Practice Address - State:TX
Practice Address - Zip Code:75119-4533
Practice Address - Country:US
Practice Address - Phone:972-875-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5597207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00470XMedicare PIN