Individual
DR. JOHN HOUSTON BLIZNAK
Active
Individual
DR. JOHN HOUSTON BLIZNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD.026527
LA
2085R0202X
Diagnostic Radiology Physician
Primary
N0652
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203444901
—
TX
01
—
8CA084
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
02/05/2008
Last updated
09/28/2009
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