Blaser, Jason L.

Blaser, Jason L. is an individual health care provider with primary practice located at 1038 S Fleishel Ave , Tyler TX 75701-2044. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Blaser, Jason L. can be contacted via phone (903) 593-9474.

Contact Information

Primary practice address
1038 S Fleishel Ave Tyler TX 75701-2044
Phone: (903) 593-9474
Fax: (903) 593-9477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X K9734 Texas
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X K9734 Texas

Profile Details

NPI number 1265477681
LBN Legal business name Blaser, Jason L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Sep 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265477681 NPPES
Texas MEDICAID 1D341263701
Texas MEDICAID 341263701

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