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NPI Code Detail

MEDICARE: RONALD M BLAIR M.D. P.A.

MEDICARE:   RONALD M BLAIR  M.D. P.A.
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
1208000000XPediatrics PhysicianH8971TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21225173107OTHERTXGROUP NPI

General Provider Information

NPI Number : 1356396691
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD M BLAIR M.D. P.A.
Provider Business Mailing Address
First Line : 7777 FOREST LN STE B300
Second Line :
City : DALLAS
State : TX
Zip : 75230-2510
Country : US
Telephone Number : 972-284-7770
Fax Number : 972-284-7780
Provider Business Practice Location Address
First Line : 7777 FOREST LN STE B300
Second Line :
City : DALLAS
State : TX
Zip : 75230-2510
Country : US
Telephone Number : 972-284-7770
Fax Number : 972-284-7780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 03/24/2016

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Directions to “ RONALD M BLAIR M.D. P.A.” Practice Location

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