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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 1902885155 NPPES
Texas Other L0036465 DEPT PUBLIC SAFETY DPS
Texas MEDICAID 12153304 DEPT PUBLIC SAFETY DPS

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