Individual
ROBERT G BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 MEDICAL DR, PALESTINE, TX 75801-4781
(903) 723-8554
(903) 723-2054
Mailing address
4002 S LOOP 256 STE A, PALESTINE, TX 75801-8492
(903) 731-5442
(903) 723-3325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G3159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128707001
—
TX
Enumeration date
08/16/2005
Last updated
11/26/2024
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