Individual
WILLIAM O BLAYLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
963 COUNTY ROAD 1340, CHICO, TX 76431-2613
(940) 644-2707
(940) 644-2976
Mailing address
963 COUNTY ROAD 1340, CHICO, TX 76431-2613
(940) 644-2707
(940) 644-2976
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
607381
TX
Other
Enumeration date
10/04/2005
Last updated
07/08/2007
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