Individual
LISA ANN BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6913 N 40TH ST, MCALLEN, TX 78504-5400
(956) 534-1471
Mailing address
6913 N 40TH ST, MCALLEN, TX 78504-5400
(956) 534-1471
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1084712
TX
363LF0000X
Family Nurse Practitioner
1084712
TX
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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