| Katherine E Blalock, MD | |
|
1905 Dove Crossing Ln Ste A, Navasota, TX 77868-5272 | |
| (936) 825-2929 | |
| (833) 760-3775 |
| Full Name | Katherine E Blalock |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 1905 Dove Crossing Ln Ste A, Navasota, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083996177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | Q0874 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 0040277 (Texas) | Secondary |
| 208D00000X | General Practice | Q0874 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitalcaring Group | College station, TX | Home health agency |
| Hospice Brazos Valley Inc | Bryan, TX | Hospice |
| Chi St Joseph Health Regional Hospital | Bryan, TX | Hospital |
| Grimes St Joseph Health Center | Navasota, TX | Hospital |
| Crestview Retirement Community | Bryan, TX | Nursing home |
| Golden Creek Healthcare And Rehabilitation Center | Navasota, TX | Nursing home |
| Navasota Nursing & Rehabilitation | Navasota, TX | Nursing home |
| Chi St Joseph Health Grimes Hospital | Navasota, TX | Nursing home |
| Chi St Joseph Health Madison Hospital | Madisonville, TX | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Aandm University System Health Science Center | 8224008644 | 40 |
| Privia Medical Group Gulf Coast Pllc | 4688999022 | 511 |
| Entity Name | Texas A&m University System Health Science Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063699312 PECOS PAC ID: 8224008644 Enrollment ID: O20040802001578 |
| Entity Name | Privia Medical Group Gulf Coast PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763 |
| Entity Name | Texas A&m University System Health Science Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851918700 PECOS PAC ID: 6709241300 Enrollment ID: O20230504001415 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine E Blalock, MD 2900 E 29th St Ste 100, Bryan, TX 77802-2623 Ph: (979) 776-8440 | Katherine E Blalock, MD 1905 Dove Crossing Ln Ste A, Navasota, TX 77868-5272 Ph: (936) 825-2929 |