Michele Blackwell MD PA

NPI #1164658100 in Webster, Texas

Provider Information

NPI Number: 1164658100
Entity Type: Organization
Organization Name: Michele Blackwell MD PA
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jun 4, 2009
Last Updated: Jan 12, 2012

Practice Location

Address: 450 MEDICAL CENTER BLVD STE 540
City: Webster
State: Texas
ZIP Code: 77598-4232
Phone: (832) 932-5138

Authorized Official

Name: MICHELE M BLACKWELL, MD
Title: PHYSICIAN
Phone: (832) 932-5138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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