Organization
BLUEPRINT TO HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON WALTER GUMM (PRESIDENT)
(214) 514-8766
Entity
Organization
Contact information
Practice address
305 CIMARRON TRL STE 180, IRVING, TX 75063-4502
(972) 401-8800
(972) 401-8801
Mailing address
PO BOX 632225, IRVING, TX 75063-0043
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
K9102
TX
Other
Enumeration date
05/25/2011
Last updated
09/01/2011
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