Blau, Jonathan
Blau, Jonathan is an individual health care provider with primary practice located at 2737 S Broadway Ave , Tyler TX 75701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Blau, Jonathan can be contacted via phone (903) 592-6000.Contact Information
Primary practice address
2737 S Broadway Ave
Tyler TX 75701
Phone: (903) 592-6000
Fax: (903) 592-3224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | J7721 | Texas |
Profile Details
| NPI number | 1942260567 |
|---|---|
| LBN Legal business name | Blau, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jan 30th, 2019 - about 5 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.
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