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NPI Code Detail

MEDICARE: ARIE BLITZ MD

MEDICARE:   ARIE  BLITZ  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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician036139930IL
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician35-086759OH
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician0101268166VA
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianQ2883TX

Other Identifiers

General Provider Information

NPI Number : 1629096011
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIE BLITZ MD
Provider Business Mailing Address
First Line : PO BOX 848491
Second Line :
City : DALLAS
State : TX
Zip : 75284-8491
Country : US
Telephone Number : 254-202-9330
Fax Number :
Provider Business Practice Location Address
First Line : 50 HILLCREST MEDICAL BLVD STE 303
Second Line :
City : WACO
State : TX
Zip : 76712-8955
Country : US
Telephone Number : 254-202-0480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 01/07/2022

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