Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genevieve J.t. Blackwelder, MD

Individual provider Pediatrics Physician · NPI 1770791717

Genevieve J.t. Blackwelder, MD is a Pediatrics Physician in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6526 Ashmore Ln
Tyler, TX 75703-5896
Phone: (972) 489-3005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence N2007 (TX)

Record details

NPI number1770791717
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 21, 2007
Last updated in NPPESOctober 23, 2009

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