Blalock, Darryl Thomas

Blalock, Darryl Thomas is an sole proprietor health care provider with primary practice located at 3460 N Dowlen Road , Beaumont TX 77706-7690. 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

Primary practice address
3460 N Dowlen Road Beaumont TX 77706-7690
Phone: (409) 838-0346
Fax: (409) 839-3720
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 Aug 6th, 2025 - about last year

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 1639431661 NPPES
Texas MEDICAID 377412701
Texas Other R1502

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