Individual
CYNTHIA A BLIZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
107 GRANBERRY ST, HUMBLE, TX 77338-4547
(713) 828-5312
Mailing address
107 GRANBERRY ST, HUMBLE, TX 77338-4547
(832) 644-6496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G8006
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
G8006
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037858001
—
TX
05
—
037858002
—
TX
01
—
8BH340
BCBS
TX
Enumeration date
07/16/2007
Last updated
07/06/2017
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