Individual provider · Type 1 NPI

Charlie S. Blalock, CRNA

Certified Registered Nurse Anesthetist · Fort Worth, TX

NPI number 1861530156 Active

Practice location

4916 Overton Plz
Fort Worth, TX 76109-4415

Fax (817) 334-0235

Mailing address

PO Box 50667
Amarillo, TX 79159-0667

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X668515 (TX)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1861530156

Charlie S. Blalock, CRNA's National Provider Identifier is 1861530156, issued on Feb 1, 2007. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 5, 2009.