Blalock, Robert

Blalock, Robert is an sole proprietor health care provider with primary practice located at 9826 Faircrest Dr , Dallas TX 75238-1542. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Blalock, Robert can be contacted via phone (214) 341-2213.

Contact Information

Primary practice address
9826 Faircrest Dr Dallas TX 75238-1542
Phone: (214) 341-2213
Fax: (214) 341-2271
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X J1103 Texas
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X J1103 Texas
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X J1103 Texas

Profile Details

NPI number 1437483427
LBN Legal business name Blalock, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2009
Last updated Sep 24th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437483427 NPPES
Texas MEDICAID P081461N4

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