| Wayne James Blalock, CRNA | |
|
3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | |
| (303) 330-2636 | |
| Not Available |
| Full Name | Wayne James Blalock |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3551 Roger Brooke Dr, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356967186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP142612 (Texas) | Primary |
| Entity Name | Smh Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346295292 PECOS PAC ID: 1355240177 Enrollment ID: O20031231000211 |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne James Blalock, CRNA 11120 Bennett Dr Unit 15, Bradenton, FL 34211-1139 Ph: (303) 330-2636 | Wayne James Blalock, CRNA 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 Ph: (303) 330-2636 |
Daniel Travis Hart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-0811 | |
Mrs. Claire Leleux Beadle, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-4911 | |
Nnenna Awagu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-567-4500 | |
Mrs. Sherilyn Kaye Medina, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 | |
Brent Duffield, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, San Antonio, TX 78234 Phone: 210-916-9100 | |
Mizraim Gomez, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-0572 | |
Stephanie Elise Williams, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11212 Highway 151, San Antonio, TX 78251 Phone: 210-703-8000 |