Jerry Blacklock, MD | |
6560 Fannin St, Suite 900, Houston, TX 77030-2761 | |
(713) 441-3800 | |
Not Available |
Full Name | Jerry Blacklock |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 6560 Fannin St, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124053392 | NPI | - | NPPES |
8GD848 | Other | TX | BCBS |
P00216844 | Other | TX | RAILROAD MEDICARE |
8EA863 | Other | TX | BLUE CROSS BLUE SHIELD |
P01331480 | Other | TX | RR MEDICARE |
8R9781 | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | G9066 (Texas) | Primary |
Entity Name | Tmh Physician Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275779225 PECOS PAC ID: 4486711744 Enrollment ID: O20090401000100 |
Mailing Address | Practice Location Address |
---|---|
Jerry Blacklock, MD 6560 Fannin St, Suite 900, Houston, TX 77030-2761 Ph: (713) 441-3800 | Jerry Blacklock, MD 6560 Fannin St, Suite 900, Houston, TX 77030-2761 Ph: (713) 441-3800 |
Dr. Edward A M Duckworth, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1709 Dryden Rd, Suite 750 - Department Of Neurosurgery, Houston, TX 77030 Phone: 713-798-4946 Fax: 713-798-3739 | |
Joel Zachary Passer, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 | |
Dr. Claudio Esteves Tatsui, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Department Of Neurosurgery -unit 442, Houston, TX 77030 Phone: 713-792-6161 | |
Dr. Omar Tanweer, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 7200 Cambridge St Fl 10, Houston, TX 77030 Phone: 713-798-1750 Fax: 713-798-4693 | |
Aaron Mohanty, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 6410 Fannin St, 1020, Houston, TX 77030 Phone: 832-325-7090 | |
Dr. Saad Ayed A Alqahatani, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 13300 Hargrave Rd Ste 500, Houston, TX 77070 Phone: 281-737-8870 | |
Dong H Kim, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 6400 Fannin St, Ste 2800, Houston, TX 77030 Phone: 713-486-8000 Fax: 713-486-8088 |