Blum, Donald R
Blum, Donald R is an individual health care provider with primary practice located at 7777 Forest Ln C-435, Dallas TX 75230-2505. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Sports Medicine. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Blum, Donald R can be contacted via phone (972) 566-3808.Contact Information
Primary practice address
7777 Forest Ln C-435
Dallas TX 75230-2505
Phone: (972) 566-3808
Fax: (972) 566-4690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 0666 | Texas |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 0666 | Texas |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 0666 | Texas |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 0666 | Texas |
Profile Details
| NPI number | 1902885155 |
|---|---|
| LBN Legal business name | Blum, Donald R |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902885155 | NPPES |
| Texas | Other | L0036465 | DEPT PUBLIC SAFETY DPS |
| Texas | MEDICAID | 12153304 | DEPT PUBLIC SAFETY DPS |
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