Individual
AMY KATHRYN BLOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
700 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6441
(979) 207-0100
(979) 207-2161
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
737835
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP120524
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282221501
—
TX
05
—
282221502
—
TX
01
—
8757UB
BLUE CROSS BLUE SHIELD
TX
01
—
P00962832
RAILROAD MEDICARE
TX
Enumeration date
10/09/2009
Last updated
10/15/2025
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