Blackwell, Michael L.
Blackwell, Michael L. is an sole proprietor health care provider with primary practice located at 425 Holderrieth Blvd Ste 208 , Tomball TX 77375-4552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Blackwell, Michael L. can be contacted via phone (281) 357-5515.Contact Information
Primary practice address
425 Holderrieth Blvd Ste 208
Tomball TX 77375-4552
Phone: (281) 357-5515
Fax: (281) 255-3440
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | J3695 | Texas |
Profile Details
NPI number | 1528021458 |
---|---|
LBN Legal business name | Blackwell, Michael L. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 11th, 2006 |
Last updated | Jan 18th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528021458 | NPPES |
Texas | MEDICAID | 103453003 |
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