Shannon Elizabeth Blalock
MD | Pediatric Cardiology | Female
Shannon Elizabeth Blalock, MD is a Dallas, Texas based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Shannon Elizabeth Blalock is
5323 Harry Hines Boulevard, Dallas, Texas - 75390-7208. She can be contacted on phone at
214-456-2333 and fax number 214-456-6154.
Shannon Elizabeth Blalock is a sole proprietor of her business.
NPI number (Unique professional ID) for Shannon Elizabeth Blalock is
1285825505 which was assigned by NPPES on 05 Aug, 2007 and it was last updated on 15 Aug, 2011.
Shannon Elizabeth Blalock license number is
M1519 for Pediatrics Pediatric Cardiology (2080P0202X) in Texas.
Shannon Elizabeth Blalock provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Shannon Elizabeth Blalock basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Shannon Elizabeth Blalock |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Shannon Elizabeth Blalock address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5323 Harry Hines Boulevard
Dallas, TX, 75390-7208
United States |
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| Phone Number : | 214-456-2333 |
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| Fax Number : | 214-456-6154 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1285825505 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Aug, 2007 |
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| Last Updated On : | 15 Aug, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon Elizabeth Blalock are as mentioned. Primary taxonomy code for Shannon Elizabeth Blalock, MD is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | M1519 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Shannon Elizabeth Blalock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 204311905 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | P.o. Box 845347
Dallas, TX, 75284-5347
United States |
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| Phone Number : | 214-456-2333 |
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| Fax Number : | 214-456-6154 |
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Business Location:
Patients can refer following map for directions to
Shannon Elizabeth Blalock practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.