MEDICARE: CHRISTOPHER JOHN BLEWETT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	L7669	TX
2	2086S0120X	Pediatric Surgery Physician	L7669	TX

General Provider Information

NPI Number	:	1477524502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER JOHN BLEWETT MD

Provider Business Mailing Address
First Line	:	PO BOX 650859
Second Line	:	DEPT. 710
City	:	DALLAS
State	:	TX
Zip	:	75265-0859
Country	:	US
Telephone Number	:	409-772-2222
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 HARBORSIDE DR
Second Line	:	STE 103
City	:	GALVESTON
State	:	TX
Zip	:	77555-0001
Country	:	US
Telephone Number	:	97-723-6954
Fax Number	:	409-772-3680

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	08/01/2025

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