Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boaz Blake, ATC

Individual provider Athletic Trainer · NPI 1649576513

Boaz Blake, ATC is an Athletic Trainer in Houston, Texas. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

7502 Fondren Rd
Houston, TX 77074-3204
Phone: (281) 649-3328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1649576513
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedFebruary 9, 2011
Last updated in NPPESFebruary 9, 2011
Mailing address7703 Fondren Rd, Houston, TX 77074-4607

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