Individual
DR. BARRETT RANDALL BLAUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1305 WONDER WORLD DR STE 209, SAN MARCOS, TX 78666-7541
(512) 396-7575
(512) 396-7555
Mailing address
1305 WONER WORLD DRIVE, STE 209, SAN MARCOS, TX 78666-7541
(512) 396-7575
(512) 396-7555
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N2008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027252-01
—
TX
Enumeration date
12/30/2008
Last updated
02/03/2011
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