Travis Wayne Blalock in Oklahoma City - Mohs-micrographic Surgery
Travis Wayne Blalock - NPI 1710195003
Travis Wayne Blalock is a Mohs-micrographic Surgery in Oklahoma City, Oklahoma. Travis Wayne Blalock practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Travis Wayne Blalock is 1710195003. The last update date is 2021-02-12.
Travis Wayne Blalock's current location address is 619 Ne 13th St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4052716110. The mailing address for Travis Wayne Blalock is 619 Ne 13th St, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis Wayne Blalock |
|---|---|
| Address | 619 Ne 13th St, Oklahoma City, Oklahoma |
| Phone Number | 4052716110 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710195003 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2021-02-12 |
Provider Mailing Address Detail
| Address | 619 Ne 13th St |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731045001 |
| Phone Number | 4052716110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | 73100 |
|
Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Travis Wayne Blalock by the Centers for Medicare & Medicaid Services?
The Travis Wayne Blalock has been issued the NPI (National Provider Identifier) 1710195003 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Travis Wayne Blalock?
The Travis Wayne Blalock is physically situated at 619 Ne 13Th St, in the city of Oklahoma City, state of OK, with the postal code 731045001.
What is Travis Wayne Blalock's area of expertise and its corresponding taxonomy classification?
The Travis Wayne Blalock's field of specialization is Mohs-micrographic Surgery, and it falls under the taxonomy code 207Nd0101X, which categorizes healthcare providers based on their areas of practice.
On what date did the Travis Wayne Blalock receive the assignment of its 1710195003 from the Centers for Medicare & Medicaid Services?
The Travis Wayne Blalock was issued its 1710195003 by the Centers for Medicare & Medicaid Services on 2007-05-18.
As of what date were the details pertaining to Travis Wayne Blalock last refreshed?
The information related to the Travis Wayne Blalock, including its address, specialty, and other relevant details, was last updated on 2021-02-12.
NPI Number: 1558367185
Address: 245 W Race St, Somerset, PA
NPI Number: 1588663769
Address: 400 W Mineral King Ave, Visalia, CA