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DR. MICHAEL L. BLACKWELL M.D.

Physicians - Orthopaedic Surgery Sports Medicine

Tomball, Texas

Provider NPI: 1528021458

Provider Information:
DR. MICHAEL L. BLACKWELL M.D.


Practice Location:
425 HOLDERRIETH # 110  TOMBALL, TX 77375 US
Tel: 281-357-5515  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207XX0005XPhysicians
Orthopaedic Surgery
Sports Medicine
TXJ3695

Other Provider Identifiers:

IssuerNumberStateType
103453003TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



ORTHOPAEDIC SURGERY JOBS TX - Page 1



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