Individual
DR. MICHAEL L. BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
J3695
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103453003
—
TX
Enumeration date
04/11/2006
Last updated
05/06/2025
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