Individual
KATHERINE E BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2900 E 29TH ST STE 200, BRYAN, TX 77802-2623
(979) 776-8440
Mailing address
2900 E 29TH ST STE 100, BRYAN, TX 77802-2623
(979) 776-8440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0040277
TX
207Q00000X
Family Medicine Physician
Q0874
TX
208D00000X
General Practice Physician
Primary
Q0874
TX
Other
Enumeration date
09/14/2011
Last updated
07/15/2026
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