MATTHEW LEE BLACKBURN

FORT WORTH, TX
NPI1811213572
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  N5512)
Enumeration Date2010-04-20
Last Update Date2014-05-29
Business Address
MATTHEW LEE BLACKBURN DO
3520 NW CENTRE DR
FORT WORTH, TX 76135-3612
Phone number: 817-375-2100
Mailing Address
MATTHEW LEE BLACKBURN DO
PO BOX 9101
COPPELL, TX 75019-9494
Phone number: 972-745-7500
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