Jonathan Blau MD PA

NPI #1073653820 in Tyler, Texas

Provider Information

NPI Number
1073653820
Entity Type
Organization
Organization Name
Jonathan Blau MD PA
Primary Specialty
Physical Medicine & Rehabilitation - Pain Medicine
Enumeration Date
Feb 8, 2007
Last Updated
Jul 27, 2010

Practice Location

Address
1814 ROSELAND BLVD
Address 2
SUITE 200
City
Tyler
State
Texas
ZIP Code
75701-4234
Phone
(903) 593-6500

Authorized Official

Name
DR. JONATHAN BLAU, MD
Title
OWNER PHYSICIAN
Phone
(903) 593-6500

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Pain MedicinePain Medicine

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