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Edward B Blackmon JR., MD
Obstetrics & Gynecology Physician in Jourdanton, Texas
NPI 1114092251

Edward B Blackmon JR. is a Obstetrics & Gynecology Physician based in Jourdanton, TX. Edward B Blackmon JR. practices in Jourdanton, TX and has the professional credentials of MD. The NPI Number for Edward B Blackmon JR. is 1114092251 and holds a License No. M0326 (Texas).

The current practice location address for Edward B Blackmon JR. is 1907 Highway 97 E Ste 220, Jourdanton, TX and can be reached out via phone at 830-769-5916 and via fax at 830-769-5917.

Location: 1907 Highway 97 E Ste 220, Jourdanton, TX, 78026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114092251
Provider Name
Edward B Blackmon JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1907 Highway 97 E Ste 220, Jourdanton, TX, 78026
Phone Number
830-769-5916
Fax Number
830-769-5917
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
349733YLLW 01 TX MEDICARE
171496601 05 TX
institution
Provider Business Practice Location Address Details
Address
1907 Highway 97 E Ste 220
City
Jourdanton
State
Texas
Zip
78026-1538
Phone Number
830-769-5916
Fax Number
830-769-5917
person
Provider Business Mailing Address Details
Address
1907 Highway 97 E Ste 220
City
Jourdanton
State
Texas
Zip
78026-1538
Phone Number
830-769-5916
Fax Number
830-769-5917
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
M0326 (Texas)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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