Blazo, Maria

Blazo, Maria is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Clinical Molecular Genetics. Allopathic & Osteopathic Physicians / Clinical Molecular Genetics is her primary health care specialty. Blazo, Maria can be contacted via phone (254) 724-6288.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-0001
Phone: (254) 724-6288
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J6553 Texas
Allopathic & Osteopathic Physicians / Clinical Molecular Genetics 207SG0203X J6553 Texas

Profile Details

NPI number 1902986334
LBN Legal business name Blazo, Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Dec 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902986334 NPPES
Texas MEDICAID 122130105

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