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Individual

BRIAN T BLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4701 OLD SHEPARD PL STE 160, PLANO, TX 75093-5297
(972) 612-4730
(972) 398-9229
Mailing address
4701 OLD SHEPARD PL STE 160, PLANO, TX 75093-5297
(972) 612-4730
(972) 398-9229

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M6533
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
185619701
TX
05
185619702
TX
05
185619703
TX
Enumeration date
01/30/2006
Last updated
05/05/2020
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