Bledsoe, Maya B

Bledsoe, Maya B is an individual health care provider with primary practice located at 11111 Research Blvd #475 , Austin TX 78759-5283. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bledsoe, Maya B can be contacted via phone (512) 338-8181.

Contact Information

Primary practice address
11111 Research Blvd #475 Austin TX 78759-5283
Phone: (512) 338-8181
Fax: (512) 338-8375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X H4173 Texas
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X H4173 Texas

Profile Details

NPI number 1194730242
LBN Legal business name Bledsoe, Maya B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated Nov 17th, 2010 - about 15 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 1194730242 NPPES
Texas MEDICAID 045997602
Texas MEDICAID 045997601

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