National Provider Identifier Database

JONATHAN BLAU MD PA
Pain Medicine

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.


Contact Information

JONATHAN BLAU MD PA
1814 ROSELAND BLVD
SUITE 200
TYLER, TX75701-4234
Phone: 903-593-6500
Fax: 903-531-9535
Website:
Specialty Taxonomy Code
* Pain Medicine 2081P2900X

* Indicates primary specialty

NPI Profile & details for JONATHAN BLAU MD PA

NPI Number 1073653820
Legal business name
LBN
JONATHAN BLAU MD PA
Authorized official JONATHAN BLAU - (OWNER PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 02/08/2007
Last updated 07/27/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: J4721
  • TX Medicaid: 163743101

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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