MRS. Rebecca Louise Blackwell, PA

NPI #1437191301 in Winnie, Texas

Provider Information

NPI Number
1437191301
Entity Type
Individual
Name
MRS. Rebecca Louise Blackwell, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Jun 12, 2006
Last Updated
Feb 23, 2009

Practice Location

Address
538 BROADWAY
City
Winnie
State
Texas
ZIP Code
77665-7600
Phone
(409) 296-9505

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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