MEDICARE: DR. JAMES S. WEINBLATT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	F4665	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110211039	OTHER	TX	RR/MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	83X674	OTHER	TX	BLUE SHIELD
4	1159048-03	OTHER	TX	CSHCN

General Provider Information

NPI Number	:	1659333565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES S. WEINBLATT M.D.

Provider Business Mailing Address
First Line	:	1901 VETERANS MEMORIAL DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76504-7451
Country	:	US
Telephone Number	:	254-743-1627
Fax Number	:	254-771-9454

Provider Business Practice Location Address
First Line	:	1901 VETERANS MEMORIAL DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76504-7451
Country	:	US
Telephone Number	:	254-743-1627
Fax Number	:	254-771-9454

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	01/27/2016

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Directions to “ DR. JAMES S. WEINBLATT M.D.” Practice Location

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