Blaser, Jason L.
Blaser, Jason L. is an individual health care provider with primary practice located at 1038 S Fleishel Ave , Tyler TX 75701-2044. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Blaser, Jason L. can be contacted via phone (903) 593-9474.Contact Information
Primary practice address
1038 S Fleishel Ave
Tyler TX 75701-2044
Phone: (903) 593-9474
Fax: (903) 593-9477
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | K9734 | Texas |
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | K9734 | Texas |
Profile Details
NPI number | 1265477681 |
---|---|
LBN Legal business name | Blaser, Jason L. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 19th, 2006 |
Last updated | Sep 16th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265477681 | NPPES |
Texas | MEDICAID | 1D341263701 | |
Texas | MEDICAID | 341263701 |
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