Dr Misty Hallonquist Blalock, NP | |
1304 Linda Dr, Daingerfield, TX 75638-2130 | |
(430) 226-5110 | |
(430) 226-5111 |
Full Name | Dr Misty Hallonquist Blalock |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 1304 Linda Dr, Daingerfield, 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 |
---|---|---|---|
1114928439 | NPI | - | NPPES |
12008144 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 651612 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Odessa Physician Associates Pllc | 8426940115 | 16 |
Texarkana Emergency Physicians Pllc | 4486778669 | 11 |
Entity Name | Odessa Physician Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457398364 PECOS PAC ID: 8426940115 Enrollment ID: O20040326001291 |
Entity Name | Navarro Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851523252 PECOS PAC ID: 1254487861 Enrollment ID: O20090923000744 |
Entity Name | Texarkana Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871813345 PECOS PAC ID: 4486778669 Enrollment ID: O20100824001147 |
Entity Name | Total Point - Desoto Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104590330 PECOS PAC ID: 0749679702 Enrollment ID: O20211112000123 |
Mailing Address | Practice Location Address |
---|---|
Dr Misty Hallonquist Blalock, NP 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Misty Hallonquist Blalock, NP 1304 Linda Dr, Daingerfield, TX 75638-2130 Ph: (430) 226-5110 |
Autumn Marie Graham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1402 Linda Dr, Daingerfield, TX 75638 Phone: 903-434-8066 Fax: 903-577-6562 | |
Tara Gray, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 146 County Road 2226, Daingerfield, TX 75638 Phone: 903-656-3618 |