Individual provider · Type 1 NPI

Jerry Blacklock, MD

Neurological Surgery Physician · Houston, TX

NPI number 1124053392 Active

Practice location

6560 Fannin St, Suite 900
Houston, TX 77030-2761

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XG9066 (TX)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1124053392

Jerry Blacklock, MD's National Provider Identifier is 1124053392, issued on Jul 12, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Houston, TX. The record was last updated on Jan 24, 2017.