Blais, Tamina Elaine
Blais, Tamina Elaine is an individual health care provider with primary practice located at 2201 N River Hills Rd , Austin TX 78733-2127. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Blais, Tamina Elaine can be contacted via phone (512) 698-2096.Contact Information
Primary practice address
2201 N River Hills Rd
Austin TX 78733-2127
Phone: (512) 698-2096
Fax: (512) 402-0869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | J6341 | Texas |
Profile Details
| NPI number | 1568415842 |
|---|---|
| LBN Legal business name | Blais, Tamina Elaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| 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 | 1568415842 | NPPES |
| Texas | Other | G0103214 | DPS |
| Texas | MEDICAID | P00050CB5 | DPS |
| Texas | Other | J6341 | DPS |
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