Individual
DR. DANIEL GRAY BLUMENFELD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 N OREGON ST, EL PASO, TX 79902-4024
(915) 545-1484
(915) 533-6685
Mailing address
1220 N OREGON ST, EL PASO, TX 79902-4024
(915) 545-1484
(915) 533-6685
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J1880
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06526578
NM MEDICAID
NM
01
—
4660699
AETNA
TX
Enumeration date
07/07/2005
Last updated
07/08/2007
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