Blaylock Anesthesia Group

LBN: Blaylock Anesthesia Group
Blaylock Anesthesia Group is an health care organization with primary practice located at 1905 Doctors Hospital Dr , Bridgeport TX 76426-2260. The organization recently has only one registered license in Other Service Providers / Contractor, which is considered as the primary health care specialty. Blaylock Anesthesia Group can be contacted via phone (940) 683-0300, or through Blaylock, Winnie C via phone (940) 683-0300.

Contact Information

Primary practice address
1905 Doctors Hospital Dr Bridgeport TX 76426-2260
Phone: (940) 683-0300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blaylock, Winnie C Certified Registered Nurse Anesthetist (CRNA)
Phone: (940) 683-0300

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 227712 Texas

Profile Details

NPI number 1225347396
LBN Legal business name Blaylock Anesthesia Group
DBA Doing business as
Authorized official Blaylock, Winnie C Certified Registered Nurse Anesthetist (CRNA)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2010
Last updated Oct 6th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225347396 NPPES
Texas MEDICAID 007073201

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