Provider Demographics
NPI:1255368502
Name:BLEAKNEY, DANA ALLISON (MD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:ALLISON
Last Name:BLEAKNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3600 GASTON AVE
Mailing Address - Street 2:BARNETT TOWER, SUITE 1109
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1800
Mailing Address - Country:US
Mailing Address - Phone:214-820-8300
Mailing Address - Fax:214-820-8313
Practice Address - Street 1:3600 GASTON AVE
Practice Address - Street 2:SUITE 454
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1800
Practice Address - Country:US
Practice Address - Phone:214-820-8300
Practice Address - Fax:214-820-8313
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2024-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL0988207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150357501Medicaid
TX8F3451OtherBCBS
TX080183897OtherRR MEDICARE
TX8188B6Medicare ID - Type Unspecified
TX080183897OtherRR MEDICARE