Individual
SHANDA HALEY BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
7200 CAMBRIDGE ST FL 6, HOUSTON, TX 77030-4202
(713) 798-6376
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
58299
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
L6794
TX
Other
Enumeration date
06/20/2006
Last updated
09/23/2025
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