P Praxis·MD
● Active Type 1 · Individual

Camille Denise Blackledge, M.D.

Surgery·Midland, TX· NPI 1427291533 · Enumerated 2009 · 17 years on NPI
Blackledge is 1 of 10 surgery providers in Midland and 1 of 3028 in Texas.
NPI age
17 years
Enumerated 2009-04-20
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
TX, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-01-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3028 active surgery providers in Texas.

NPI age
17 years
≈ at median (18 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-04Enumerated in NPPES
2009 2026

Where they practice

Practice location
2405 W Missouri Ave
Midland, TX 797016800
📞 4326971061fax 4326977089
Mailing address
2405 W Missouri Ave
Midland, TX 797016800
📞 4326971061fax 4326977089

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    TX license #Q5158AL license #33297 taxonomy 208600000X

Identifiers

TypeValueNotes
05 (TX) 363823103
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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