Blahey, Maria Susan
Blahey, Maria Susan is an individual health care provider with primary practice located at 755 N 11Th St Suite P-5200, Beaumont TX 77702-1501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blahey, Maria Susan can be contacted via phone (409) 898-2994.Contact Information
Primary practice address
755 N 11Th St Suite P-5200
Beaumont TX 77702-1501
Phone: (409) 898-2994
Fax: (409) 899-5542
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G1816 | Texas |
Profile Details
NPI number | 1053304725 |
---|---|
LBN Legal business name | Blahey, Maria Susan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 26th, 2005 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1053304725 | NPPES |
Texas | Other | Y0048390 | STATE DPS LICENSE |
Texas | Other | G1816 | STATE DPS LICENSE |
Texas | MEDICAID | 156968301 | STATE DPS LICENSE |
Texas | Other | TAX ID | STATE DPS LICENSE |
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