| David M Blacklock, DO | |
|
100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | |
| (254) 202-2000 | |
| (254) 202-5849 |
| Full Name | David M Blacklock |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 100 Hillcrest Medical Blvd, Waco, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801804570 | NPI | - | NPPES |
| 125756005 | Medicaid | TX | |
| 8AM187 | Other | TX | BCBS |
| 123356105 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | F5119 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| David M Blacklock, DO Po Box 844658, Dallas, TX 75284-4658 Ph: () - | David M Blacklock, DO 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 Ph: (254) 202-2000 |
Thomas J Valigura, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 Fax: 254-202-5849 | |
Kyle Sulak, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 405 Londonderry Dr Ste 105, Waco, TX 76712 Phone: 254-776-0266 | |
Dr. Rachel Backstrom, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 | |
Holly W Davis, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 405 Londonderry Dr, Suite 105, Waco, TX 76712 Phone: 254-776-0266 Fax: 254-776-2511 | |
Casey D Hector, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 405 Londonderry Dr, Suite 105, Waco, TX 76712 Phone: 254-776-0266 Fax: 254-776-2511 | |
Jeffrey T Manning, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 405 Londonderry Dr, Suite 105, Waco, TX 76712 Phone: 254-776-0266 Fax: 254-776-2511 | |
Jose Miguel Soto, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 Fax: 254-202-5849 |