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Individual
DR. JOHN KARL BLUM
Active
Individual
DR. JOHN KARL BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4213
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084042301
MEDICAID GROUP TPI
TX
01
—
10015408
AMERIGROUP
TX
01
—
135117302
MEDICAID THSTEPS TPI
TX
01
—
135117307
MEDICAID IND. TPI
TX
Enumeration date
11/09/2006
Last updated
10/13/2008
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