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
Fax: (409) 899-5542
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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