Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW LEE BLACKBURN, DO
ActiveFamily Medicine · FORT WORTH, TX
Registration Details
- NPI Number
- 1811213572
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2010 (16.015241103736 yrs)
- Last Updated
- May 29, 2014
- License
-
N5512 (TX)
Practice Information
- Address
-
3520 NW CENTRE DRFORT WORTH, TX, 761353612Browse TX providers · Browse ZIP 76135
- Phone
- 8173752100
- Fax
- 8172370022
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| DR. FRANCISCO CHACON | M.D. | 1386647162 |
| BEENA M. TRIVEDI | MD | 1457353500 |
| SUCHITA REDDY | M.D. | 1154325132 |
| DR. PETER GORDON MCDOUGALL | M.D. | 1548264948 |
| DR. MICHAEL LYNN BAILEY | DO | 1215931639 |
| RICKY D EDWARDS | MD | 1457358699 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.