| Dr Jonathan Blau, MD | |
|
2737 S Broadway Ave, Tyler, TX 75701 | |
| (903) 592-6000 | |
| (903) 592-3224 |
| Full Name | Dr Jonathan Blau |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
| Location | 2737 S Broadway Ave, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942260567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | J7721 (Texas) | Primary |
| Entity Name | Charles R Gordon MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982717955 PECOS PAC ID: 8729992052 Enrollment ID: O20031206000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Blau, MD Po Box 6605, Tyler, TX 75711-6605 Ph: (903) 592-6000 | Dr Jonathan Blau, MD 2737 S Broadway Ave, Tyler, TX 75701 Ph: (903) 592-6000 |
Dr. Bradley S Merritt, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3131 Troup Hwy, Tyler, TX 75701 Phone: 903-510-7006 |
Mr. Chad Joseph Mcneil, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3414 Golden Rd, Tyler, TX 75701 Phone: 903-939-7500 Fax: 903-939-7728 |
Dr. Catherine M Fieseler, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-510-8840 |
Jorge Ivan Garcia, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St, Ste 330, Tyler, TX 75702 Phone: 903-525-7995 |
Ellisiv Lien, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2737 S Broadway Ave, Tyler, TX 75701 Phone: 903-592-6000 Fax: 903-592-3224 |
Jonathan Colby Smith, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3131 Troup Hwy, Tyler, TX 75701 Phone: 903-510-7006 |
Dr. Janine Coles Islam, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4295 Kinsey Dr, Tyler, TX 75703 Phone: 903-526-5000 Fax: 903-526-5006 |