Blaylock, Rebecca C

Blaylock, Rebecca C is an individual health care provider with primary practice located at 1635 North Loop West , Houston TX 77008-1593. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Blaylock, Rebecca C can be contacted via phone (713) 400-2990.

Contact Information

Primary practice address
1635 North Loop West Houston TX 77008-1593
Phone: (713) 400-2990
Fax: (713) 400-2993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 250188 Texas

Profile Details

NPI number 1700871316
LBN Legal business name Blaylock, Rebecca C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Sep 26th, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700871316 NPPES
Texas MEDICAID 088840604
Texas Other 430070601
Texas MEDICAID 088840608
Texas MEDICAID 1606097-02
Texas Other 86922U
Texas Other 87204U
Texas Other 82315U
Texas Other 84290U

Popular Providers