DR. HEATHER D. BLAYLOCK MD - NPI 1740460542 - Family Medicine in Lubbock, TX

Q: What is Heather Blaylock's NPI number?

The NPI number for Heather Blaylock is 1740460542. It was assigned to this individual provider in the NPPES registry on November 8, 2007.

Q: What is Heather Blaylock's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Heather Blaylock was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Dr. Heather D. Blaylock Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HEATHER D. BLAYLOCK MD (NPI 1740460542) is an individual family medicine provider in Lubbock, Texas, licensed in Texas (N2955) and active in the NPI registry since November 2007. She maintains a secondary practice location in The Woodlands.

NPPES Registry Identity

NPI1740460542

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. HEATHER D. BLAYLOCKCredential: MD

Location Address611 N FRANKFORD AVELubbock, TX 79416

Mailing Address2215 Nashville AveLubbock, TX 79410-1105 · (806) 725-5844 · Fax (806) 723-6532

Phone(806) 725-5840

Fax(806) 723-6156

Sole ProprietorNo

Enumeration DateNovember 8, 2007

Last NPPES UpdateJanuary 18, 2019

✔ NPI 1740460542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · N2955

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

611 N FRANKFORD AVE, Lubbock, TX 79416

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Secondary Practice Location 1

Location 117450 St Lukes Way Ste 300The Woodlands, TX 77384-2003 · Phone (936) 266-2180

Other Identifiers 5

Medicaid10127801NM

Medicaid336867202TX

Other1740460542TX · Firstcare

Other350104YKT8TX · Medicare

Other8HB228TX · Bcbs

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SELVIN VILLEDA MD

Pediatrics