Dr Miriam Allison Blum, DO | |
801 7th Ave, Fort Worth, TX 76104-2733 | |
(682) 885-1475 | |
(682) 885-7520 |
Full Name | Dr Miriam Allison Blum |
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Gender | Female |
Speciality | Hospitalist |
Location | 801 7th Ave, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013139534 | NPI | - | NPPES |
121521945A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | P3857 (Texas) | Primary |
Entity Name | Cook Childrens Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
Mailing Address | Practice Location Address |
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Dr Miriam Allison Blum, DO Po Box 99371, Fort Worth, TX 76199-0371 Ph: (682) 885-1855 | Dr Miriam Allison Blum, DO 801 7th Ave, Fort Worth, TX 76104-2733 Ph: (682) 885-1475 |
Steven Kyle Brady, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 | |
Maxie Brewer, DO, MS Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 | |
Samantha Marie Watts, PA-C Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave Ste 200, Fort Worth, TX 76104 Phone: 817-912-8240 | |
Lauren Alexandra Goolsbay, D.O. Hospitalist Medicare: Medicare Enrolled Practice Location: 1325 Pennsylvania Ave Ste 740, Fort Worth, TX 76104 Phone: 817-250-5429 | |
Arturo M. Segismundo, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10864 Texas Health Trl, Fort Worth, TX 76244 Phone: 940-320-1708 | |
Ambir Rauf Mirza, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1301 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-820-4906 |