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Individual
DR. MARIA SUSAN BLAHEY
Active
Individual
DR. MARIA SUSAN BLAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G1816
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156968301
—
TX
01
—
G1816
STATE LICENSE
TX
01
—
TAX ID
741903407
TX
01
—
Y0048390
STATE DPS LICENSE
TX
Enumeration date
08/26/2005
Last updated
03/07/2023
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