Individual
DR. PHILIP S BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 GESSNER RD STE 750, HOUSTON, TX 77024-2574
(713) 338-5616
(713) 704-3086
Mailing address
915 GESSNER RD STE 750, HOUSTON, TX 77024-2574
(713) 333-6900
(713) 333-6919
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
J8917
TX
2085N0700X
Neuroradiology Physician
J8917
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00106W
MEDICARE GROUP PTAN - HARRIS
TX
01
—
0035TD
BLUE CROSS BLUE SHIELD OF TEXAS GROUP RECORD NUMBER
TX
01
—
00X185
MEDICARE GROUP PTAN - BRAZORIA
TX
05
—
036006703
—
TX
05
—
036006704
—
TX
01
—
153449704
MEDICAID GROUP TPI
TX
01
—
8DC608
BLUE CROSS BLUE SHIELD OF TEXAS INDIVIDUAL RECORD NUMBER
TX
01
—
DB6392
RAILROAD MEDICARE GROUP PTAN
—
01
—
P01049027
RR MDCR PTAN
—
Enumeration date
11/18/2005
Last updated
09/12/2024
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