Provider Demographics
NPI:1255331898
Name:WHITE, BLACKMAN LEE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:BLACKMAN
Middle Name:LEE
Last Name:WHITE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 130587
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77219-0587
Mailing Address - Country:US
Mailing Address - Phone:713-223-3663
Mailing Address - Fax:713-227-2388
Practice Address - Street 1:815 WALKER ST
Practice Address - Street 2:SUITE 837
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-5721
Practice Address - Country:US
Practice Address - Phone:713-223-3663
Practice Address - Fax:713-227-2388
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXC-8497207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC8497OtherLICENSE