Individual
DR. JOHN HOUSTON BLIZNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 CYPRESS, #110, ABILENE, TX 79601-5122
(325) 677-2201
(325) 677-7641
Mailing address
PO BOX 2898, ABILENE, TX 79604-2898
(325) 677-2201
(325) 677-7641
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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