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Individual
DR. JOHN RAY BLEVINS
Active
Individual
DR. JOHN RAY BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N4302
TX
208M00000X
Hospitalist Physician
N4302
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217214002
—
TX
01
—
P01076708
RAILROAD MEDICARE
TX
Enumeration date
05/27/2008
Last updated
01/06/2025
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