Individual
JOHN M BILTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 HOSPITAL DR, SUITE 100, CORSICANA, TX 75110-2415
(903) 875-0413
(903) 872-8165
Mailing address
401 HOSPITAL DR, SUITE 100, CORSICANA, TX 75110-2415
(903) 875-0413
(903) 872-4467
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
J6338
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039388602
—
TX
01
—
P00433438
MEDICARE RAILROAD
TX
Enumeration date
02/13/2006
Last updated
05/13/2016
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