Provider Demographics
NPI:1548362858
Name:BLUM, HENRY J (MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:J
Last Name:BLUM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5420 WEST LOOP SOUTH
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401
Mailing Address - Country:US
Mailing Address - Phone:713-314-4600
Mailing Address - Fax:713-314-2990
Practice Address - Street 1:5420 WEST LOOP SOUTH
Practice Address - Street 2:SUITE 2400
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401
Practice Address - Country:US
Practice Address - Phone:713-314-4600
Practice Address - Fax:713-314-2990
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2020-11-05
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Provider Licenses
StateLicense IDTaxonomies
TXG4837207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD74278Medicare UPIN
89441FMedicare ID - Type Unspecified