Blalock, Darryl Thomas
Blalock, Darryl Thomas is an sole proprietor health care provider with primary practice located at 3650 Laurel St , Beaumont TX 77707-2216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Blalock, Darryl Thomas can be contacted via phone (409) 838-0346.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 94-07982 | Kansas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | R1502 | Texas |
Profile Details
| NPI number | 1639431661 |
|---|---|
| LBN Legal business name | Blalock, Darryl Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2012 |
| Last updated | Jan 31st, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639431661 | NPPES |
| Texas | Other | R1502 | MEDICAL LICENSE |
| Texas | MEDICAID | 377412701 | MEDICAL LICENSE |
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