Michael Bendele Blackmon M.D.

NPI 1043202849 - Internal Medicine - 207RP1001X

NPI Details
NPI 1043202849
Gender Male
Enumeration Date 08/17/2005
Last Updated 10/27/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
6124 W PARKER RD
SUITE 530
PLANO TX, 75093-8122, US
Phone (214) 778-1075
Fax (214) 778-1237
Business Location
6124 W PARKER RD
SUITE 530
PLANO TX, 75093-8122, US
Phone (214) 778-1075
Fax (214) 778-1237
Toxanomy
Taxonomy Code 207RP1001X
License State Texas
License Number K0266
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According to our database, Dr. Michael Bendele Blackmon M.D. NPI is 1043202849, taxonomy code is 207RP1001X and license number is K0266, license state is located at Texas. Michael Bendele Blackmon M.D. physically located at 6124 W Parker Rd, Plano TX, 75093-8122. NPI Number Michael Bendele Blackmon M.D. has the Individual type.

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1043202849 NPI number is provided on an as is basis without warranty of any kind. 1043202849 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Bendele Blackmon M.D. are for informational purposes only.