Individual
DARRYL THOMAS BLALOCK
Active
Individual
DARRYL THOMAS BLALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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