Individual
DR. DONALD R BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
7777 FOREST LN, C-435, DALLAS, TX 75230-2505
(972) 566-3808
(972) 566-4690
Mailing address
7777 FOREST LN, SUITE C-435, DALLAS, TX 75230-2505
(972) 566-3808
(972) 566-4690
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0666
TX
213ES0000X
Sports Medicine Podiatrist
0666
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0666
TX
213ES0131X
Foot Surgery Podiatrist
0666
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12153304
—
TX
01
—
L0036465
DEPT PUBLIC SAFETY DPS
TX
Enumeration date
01/14/2006
Last updated
03/07/2023
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