| Allison Blazek Md Pa | |
|
2310 Rutland St Houston TX 77008-2556 | |
| (713) 880-2311 | |
| (713) 880-1620 |
| Full Name | Allison Blazek Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2310 Rutland St, Houston, Texas |
| Authorized Official Name and Position | Allison Blazek (SECRETARY) |
| Authorized Official Contact | 8329780395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allison Blazek Md Pa 2310 Rutland St Houston TX 77008-2556 Ph: (713) 880-2311 | Allison Blazek Md Pa 2310 Rutland St Houston TX 77008-2556 Ph: (713) 880-2311 |
| NPI Number | 1134394752 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 08/07/2022 |
| Medicare PECOS PAC ID | 4587720453 |
|---|---|
| Medicare Enrollment ID | O20090227000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134394752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L1273 (Texas) | Primary |
| Provider Name | Allison Blazek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730289695 PECOS PAC ID: 7911079009 Enrollment ID: I20080707000493 |
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