SearchTexas207Q00000X

Matthew Blackburn, DO

NPI 1811213572 · on the registry since 2010

Practice

Address
3520 Nw Centre Dr
Fort Worth, TX 76135
Phone
(817) 375-2100
Fax
(817) 237-0022
Clinicians at this address
6

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas