Individual
DR. RICHARD L BLUESTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2571
(972) 566-7000
Mailing address
PO BOX 201606, DALLAS, TX 75320-1606
(972) 758-3598
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K5822
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119152001
—
TX
05
—
119152002
—
TX
05
—
119152005
—
TX
01
—
88499K
BCBS
TX
01
—
88520K
BCBS
TX
01
—
930069824
RAILROAD
TX
01
—
930080791
MEDICARE RAILROAD
TX
Enumeration date
12/15/2005
Last updated
02/04/2013
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