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Individual
DR. HERMAN MACK BLANTON
Active
Individual
DR. HERMAN MACK BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
01077468A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033102705
—
TX
01
—
1255391413
SCOTT AND WHITE HEALTH PLAN
TX
01
—
8V4241
BCBS TX
TX
01
—
P00466542
RR MEDICARE
TX
Enumeration date
03/23/2006
Last updated
08/24/2016
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