Individual
DARRYL THOMAS BLALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3460 N DOWLEN ROAD, BEAUMONT, TX 77706-7690
(409) 838-0346
(409) 839-3720
Mailing address
3460 N DOWLEN RD, BEAUMONT, TX 77706-7690
(409) 838-0346
(409) 839-3720
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
94-07982
KS
207X00000X
Orthopaedic Surgery Physician
Primary
R1502
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377412701
—
TX
01
—
R1502
MEDICAL LICENSE
TX
Enumeration date
06/14/2012
Last updated
08/06/2025
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