Shannon Elizabeth Blalock in Dallas - Pediatric Cardiology
Shannon Elizabeth Blalock - NPI 1285825505
Shannon Elizabeth Blalock is a Pediatric Cardiology in Dallas, Texas. Shannon Elizabeth Blalock practices all healthcare services and medical treatments related to Pediatric Cardiology. The NPI Number for Shannon Elizabeth Blalock is 1285825505. The last update date is 2011-08-15.
Shannon Elizabeth Blalock's current location address is P.o. Box 845347, Dallas, Texas. You can contact this provider via phone number 2144562333 and fax number 2144566154. The mailing address for Shannon Elizabeth Blalock is P.o. Box 845347, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Elizabeth Blalock |
|---|---|
| Address | P.o. Box 845347, Dallas, Texas |
| Phone Number | 2144562333 |
| Fax Number | 2144566154 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1285825505 |
|---|---|
| Provider Enumeration Date | 2007-08-05 |
| Last Updated Date | 2011-08-15 |
Provider Mailing Address Detail
| Address | P.o. Box 845347 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752845347 |
| Phone Number | 2144562333 |
| Fax Number | 2144566154 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Cardiology |
|---|---|
| Taxonomy | 2080P0202X |
| Licence No | M1519 |
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Definition: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinica |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 204311905 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shannon Elizabeth Blalock by the Centers for Medicare & Medicaid Services (CMS)?
The Shannon Elizabeth Blalock has been assigned the NPI (National Provider Identifier) 1285825505. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Shannon Elizabeth Blalock's facilities are situated?
The facilities of Shannon Elizabeth Blalock are physically located at the following address: P.O. Box 845347, Dallas, TX, 752845347.
What is the Shannon Elizabeth Blalock's area of specialization and corresponding taxonomy classification?
The Shannon Elizabeth Blalock's specialty field is Pediatric Cardiology, and it falls under the taxonomy code 2080P0202X, which categorizes healthcare providers based on their specialties.
On what date did Shannon Elizabeth Blalock receive its 1285825505 assignment from the Centers for Medicare & Medicaid Services?
The Shannon Elizabeth Blalock was assigned its 1285825505 on 2007-08-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Shannon Elizabeth Blalock most recently updated or revised?
The information pertaining to Shannon Elizabeth Blalock, including its address, specialty, and other relevant details, was last updated or revised on 2011-08-15.
NPI Number: 1992783179
Address: 10800 Brighton Bay Blvd Ne, Saint Petersburg, FL