Dr. Michael Montgomery Blair
Otolaryngology/Facial Plastic Surgery
1340 Wonder World Dr Ste 4031
San Marcos
, Texas 78666-7598
Dr. Michael Montgomery Blair
Otolaryngology/Facial Plastic Surgery
1340 Wonder World Dr Ste 4031
San Marcos
, Texas 78666-7598
(512) 353-6400
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Michael Montgomery Blair
- 1340 Wonder World Dr Ste 4031
- San Marcos, TX
- Zip : 78666-7598
- Phone : (512) 353-6400
Second Address
- Dr. Michael Montgomery Blair
- 1340 Wonder World Dr Ste 4031
- San Marcos, TX
- Zip : 78666-7598
- Phone : (512) 353-6400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | P0551 | TX |
National Provider Identifier
| NPI | 1104037100 |
|---|---|
| Provider Name | Dr. Michael Montgomery Blair |
| First Address | San Marcos, TX 78666-7598 |
| Second Address | San Marcos, TX 78666-7598 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2007 |
| Last Update Date | 14/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 287444801 | (05) | TX |
| P00995618 | RR MEDICARE (01) | TX |
| TXB140444 | MEDICARE (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.