Terri Blackstock, Md, Pa

LBN: Terri Blackstock, Md, Pa
Terri Blackstock, Md, Pa is an health care organization with primary practice located at 124 Sawtooth Oak St , Hot Springs AR 71901-7160. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Terri Blackstock, Md, Pa can be contacted via phone (501) 623-7800, or through Blackstock, Terri via phone (501) 623-7800.

Contact Information

Primary practice address
124 Sawtooth Oak St Hot Springs AR 71901-7160
Fax: (501) 623-7866
Website:
Authorized official contact:
Name: Blackstock, Terri Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1215135645
LBN Legal business name Terri Blackstock, Md, Pa
DBA Doing business as
Authorized official Blackstock, Terri Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2007
Last updated Jan 28th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215135645 NPPES
Arkansas MEDICAID 146525002
Arkansas Other 5K269

Popular Providers