MEDICARE: DR. ROBERT B BLUMER 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	207RI0200X	Infectious Disease Physician	E21334	TX

General Provider Information

NPI Number	:	1841334034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT B BLUMER MD

Provider Business Mailing Address
First Line	:	PO BOX 847824
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-7824
Country	:	US
Telephone Number	:	903-877-2827
Fax Number	:	903-877-5661

Provider Business Practice Location Address
First Line	:	2302 SE MILITARY DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78223-3527
Country	:	US
Telephone Number	:	903-877-2827
Fax Number	:	903-877-5661

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

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	07/08/2007

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