Blum, Philip S
Blum, Philip S is an individual health care provider with primary practice located at 915 Gessner Rd Ste 750 , Houston TX 77024-2574. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Blum, Philip S can be contacted via phone (713) 338-5616.Contact Information
Primary practice address
915 Gessner Rd Ste 750
Houston TX 77024-2574
Phone: (713) 338-5616
Fax: (713) 704-3086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | J8917 | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | J8917 | Texas |
Profile Details
| NPI number | 1568444115 |
|---|---|
| LBN Legal business name | Blum, Philip S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Nov 30th, 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 | 1568444115 | NPPES |
| Texas | Other | 00X185 | MEDICARE GROUP PTAN - BRAZORIA |
| Texas | Other | 153449704 | MEDICARE GROUP PTAN - BRAZORIA |
| Texas | MEDICAID | 036006703 | MEDICARE GROUP PTAN - BRAZORIA |
| Texas | Other | DB6392 | MEDICARE GROUP PTAN - BRAZORIA |
| Texas | Other | 0035TD | MEDICARE GROUP PTAN - BRAZORIA |
| Texas | Other | P01049027 | MEDICARE GROUP PTAN - BRAZORIA |
| Texas | Other | 00106W | MEDICARE GROUP PTAN - BRAZORIA |
| Texas | MEDICAID | 036006704 | MEDICARE GROUP PTAN - BRAZORIA |
| Texas | Other | 8DC608 | MEDICARE GROUP PTAN - BRAZORIA |
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