Individual
DR. JOANNE LORRAINE BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3410 WORTH ST, DALLAS, TX 75246-2003
(214) 370-1000
(214) 370-1202
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
H3652
TX
207RX0202X
Medical Oncology Physician
Primary
H3652
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136965401
—
TX
05
—
136965402
—
TX
05
—
136965403
—
TX
05
—
136965405
—
TX
05
—
136965406
—
TX
01
—
8R1398
BLUE CROSS OF TEXAS
TX
Enumeration date
06/12/2006
Last updated
10/08/2021
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