Blayne K Street, DO

Pediatrician in Sweetwater, Texas · NPI 1568811636

Blayne Street is the only pediatrician we list in Sweetwater, Texas. See all pediatricians in Texas. Blayne Street practices with Discovery Medical Network Sweetwater LLC.

Registry record (NPPES)

NPI
1568811636
Type
Type 1 · Individual
Primary taxonomy
Pediatrics · 208000000X
Address on file
301 Jenny George Lane
Sweetwater, TX 79556
(325) 219-6175
Enumerated
Jun 8, 2016
Record last updated
Jun 13, 2022
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Pediatric Medicine
Revalidation due
No date set by CMS

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Practice locations

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.