NPI age
9 years
Enumerated 2016-06-08
● Active
Type 1 · Individual
DR. Blayne K Street, D.O.
Street is 1 of 2 pediatrics providers in Sweetwater and 1 of 7055 in Texas.
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-06-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 7055 active pediatrics providers in Texas.
NPI age
9 years
↓ 9 yr below median (18 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-06Enumerated in NPPES
2016
2026
Where they practice
Practice location
301 Jenny George Lane, Building B, Suite 5
Sweetwater, TX 79556
Mailing address
301 Jenny George Ln, Building B, Suite 5
Sweetwater, TX 795567152
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
-
Family MedicineA family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 426407901 |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.