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NPI Code Detail

MEDICARE: GINA MARIE BLOCKER D.O.

MEDICARE: GINA MARIE BLOCKER D.O.
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
1207P00000XEmergency Medicine PhysicianP9523TX

General Provider Information

NPI Number : 1912225376
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA MARIE BLOCKER D.O.
Provider Business Mailing Address
First Line : 6800 WEST LOOP S STE 300
Second Line :
City : BELLAIRE
State : TX
Zip : 77401-4522
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6720 BERTNER AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2604
Country : US
Telephone Number : 713-798-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2010
Last Update Date : 12/17/2025

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