Individual
DR. JONATHAN BLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2737 S BROADWAY AVE, TYLER, TX 75701
(903) 592-6000
(903) 592-3224
Mailing address
PO BOX 6605, TYLER, TX 75711-6605
(903) 592-6000
(903) 592-3224
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
J7721
TX
Other
Enumeration date
03/27/2006
Last updated
01/30/2019
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