| Sheryl L. Blaylock M.d., P.a. | |
|
1105 Santa Fe Suite 102 Weatherford TX 76086 | |
| (817) 594-6620 | |
| Not Available |
| Full Name | Sheryl L. Blaylock M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1105 Santa Fe, Weatherford, Texas |
| Authorized Official Name and Position | Sheryl L Blaylock (PRESIDENT OWNER) |
| Authorized Official Contact | 8175946620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheryl L. Blaylock M.d., P.a. 1105 Santa Fe Suite 102 Weatherford TX 76086 Ph: (817) 594-6620 | Sheryl L. Blaylock M.d., P.a. 1105 Santa Fe Suite 102 Weatherford TX 76086 Ph: (817) 594-6620 |
| NPI Number | 1053533364 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053533364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J8464 (Texas) | Primary |
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