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Organization
MICHELE BLACKWELL MD PA
Active
Organization
MICHELE BLACKWELL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE M BLACKWELL MD (PHYSICIAN)
(832) 932-5138
Entity
Organization
Contact information
Practice address
450 MEDICAL CENTER BLVD STE 540, WEBSTER, TX 77598-4232
(832) 932-5138
(832) 932-5142
Mailing address
450 MEDICAL CENTER BLVD STE 540, WEBSTER, TX 77598-4232
(832) 932-5138
(932) 932-5142
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/04/2009
Last updated
01/12/2012
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