Jonathan Blau Md Pa

LBN: Jonathan Blau Md Pa
Jonathan Blau Md Pa is an health care organization with primary practice located at 1814 Roseland Blvd Suite 200, Tyler TX 75701-4234. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Jonathan Blau Md Pa can be contacted via phone (903) 593-6500, or through Blau, Jonathan via phone (903) 593-6500.

Contact Information

Primary practice address
1814 Roseland Blvd Suite 200 Tyler TX 75701-4234
Phone: (903) 593-6500
Fax: (903) 531-9535
Website:
Map and Directions
Authorized official contact:
Name: Blau, Jonathan Doctor of Medicine (MD)
Phone: (903) 593-6500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X J4721 Texas

Profile Details

NPI number 1073653820
LBN Legal business name Jonathan Blau Md Pa
DBA Doing business as
Authorized official Blau, Jonathan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Jul 27th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073653820 NPPES
Texas MEDICAID 163743101

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