Sheryl L. Blaylock M.d., P.a. | |
1105 Santa Fe Suite 102 Weatherford TX 76086 | |
(817) 594-6620 | |
Not Available |
Full Name | Sheryl L. Blaylock M.d., P.a. |
---|---|
Speciality | Internal Medicine |
Location | 1105 Santa Fe, Weatherford, Texas |
Authorized Official Name and Position | Sheryl L Blaylock (PRESIDENT OWNER) |
Authorized Official Contact | 8175946620 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sheryl L. Blaylock M.d., P.a. 1105 Santa Fe Suite 102 Weatherford TX 76086 Ph: (817) 594-6620 | Sheryl L. Blaylock M.d., P.a. 1105 Santa Fe Suite 102 Weatherford TX 76086 Ph: (817) 594-6620 |
NPI Number | 1053533364 |
---|---|
Provider Enumeration Date | 05/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053533364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | J8464 (Texas) | Primary |
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