Blair, Michael Montgomery
Blair, Michael Montgomery is an sole proprietor health care provider with primary practice located at 1340 Wonder World Dr Ste 4031 , San Marcos TX 78666-7598. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Blair, Michael Montgomery can be contacted via phone (512) 353-6400.Contact Information
Primary practice address
1340 Wonder World Dr Ste 4031
San Marcos TX 78666-7598
Phone: (512) 353-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | P0551 | Texas |
Profile Details
| NPI number | 1104037100 |
|---|---|
| LBN Legal business name | Blair, Michael Montgomery |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2007 |
| Last updated | Jun 14th, 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 | 1104037100 | NPPES |
| Texas | MEDICAID | 287444801 | |
| Texas | Other | P00995618 | |
| Texas | Other | TXB140444 |
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