Provider Demographics
NPI:1649370560
Name:BLUM, MARIA ELISABETH (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ELISABETH
Last Name:BLUM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:22 OAKWELL FARMS PKWY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-1780
Mailing Address - Country:US
Mailing Address - Phone:210-822-1541
Mailing Address - Fax:
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-617-5117
Practice Address - Fax:210-617-5702
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TXJ3051207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine