MEDICARE: CYNTHIA A BLIZZARD MD

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	G8006	TX
2	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	G8006	TX

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8BH340	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1841499290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA A BLIZZARD MD

Provider Business Mailing Address
First Line	:	107 GRANBERRY ST
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-4547
Country	:	US
Telephone Number	:	832-644-6496
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 GRANBERRY ST
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-4547
Country	:	US
Telephone Number	:	713-828-5312
Fax Number	:

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

Provider Enumeration Date	:	07/16/2007
Last Update Date	:	07/06/2017

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Directions to “ CYNTHIA A BLIZZARD MD” Practice Location

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