Dr. Gary Neil Blum
Periodontist
737 Everhart Rd Suite 2
Corpus Christi
, Texas 78411-1924
Dr. Gary Neil Blum
Periodontist
737 Everhart Rd Suite 2
Corpus Christi
, Texas 78411-1924
(361) 992-4510
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Gary Neil Blum
- 737 Everhart Rd Suite 2
- Corpus Christi, TX
- Zip : 78411-1924
- Fax : (361) 992-4510
- Phone : (361) 992-7641
Second Address
- Dr. Gary Neil Blum
- 737 Everhart Rd Suite 2
- Corpus Christi, TX
- Zip : 78411-1924
- Fax : (361) 992-4510
- Phone : (361) 992-7641
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 9285 | TX |
National Provider Identifier
| NPI | 1144227687 |
|---|---|
| Provider Name | Dr. Gary Neil Blum |
| First Address | Corpus Christi, TX 78411-1924 |
| Second Address | Corpus Christi, TX 78411-1924 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T12250 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.