Individual
DR. R. MATTHEW BLOEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8955 HIGHWAY 6 N, #100, HOUSTON, TX 77095-2320
(281) 858-5708
(281) 858-6339
Mailing address
12606 W HOUSTON CENTER BLVD STE 260, HOUSTON, TX 77082-2790
(713) 596-8526
(713) 596-8560
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
L9628
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043645
BLUE LINK
TX
05
—
171597101
—
TX
01
—
3558990
CIGNA
TX
01
—
3687922
AETNA HMO
TX
01
—
7912611
AETNA PPO
TX
Enumeration date
05/25/2006
Last updated
05/01/2019
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