Individual
DR. MICHAEL MONTGOMERY BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1340 WONDER WORLD DR STE 4031, SAN MARCOS, TX 78666-7598
(512) 353-6400
Mailing address
1340 WONDER WORLD DR STE 4031, SAN MARCOS, TX 78666-7598
(512) 353-6400
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
P0551
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287444801
—
TX
01
—
P00995618
RR MEDICARE
TX
01
—
TXB140444
MEDICARE
TX
Enumeration date
05/24/2007
Last updated
05/12/2025
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