Jack Joseph Blumenthal, D.O.
Surgery in Pearland, TX. Individual provider (NPI-1).
NPI number1902061674
StatusActive
Last updated in NPPESJul 22, 2008
Details
- NPI
- 1902061674
- Entity type
- Individual (NPI-1)
- Name
- Jack Joseph Blumenthal
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2008
- Last updated
- Jul 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | D5276 | TX | Yes |
Practice location
2550 Thelma StPearland, TX 77581-7081
Phone 281-485-3361 · Fax 281-485-3361
Mailing address
2550 Thelma StPearland, TX 77581-7081
Phone 281-485-3361 · Fax 281-485-3361
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