Organization
CENTER FOR ORTHOPAEDICS & SPORTS MEDICINE P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L BLACKWELL M.D. (PHYSICIAN)
(281) 357-5515
Entity
Organization
Contact information
Practice address
425 HOLDERRIETH BLVD STE 208, TOMBALL, TX 77375-4552
(281) 357-5515
(281) 255-3440
Mailing address
425 HOLDERRIETH BLVD STE 208, TOMBALL, TX 77375-4552
(281) 357-5515
(281) 255-3440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J3695
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157271101
—
TX
Enumeration date
02/22/2007
Last updated
08/05/2025
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