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1124053392
JERRY BLACKLOCK
HOUSTON, TX
NPI
1124053392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: TX G9066)
Enumeration Date
2006-07-12
Last Update Date
2017-01-24
Business Address
-- JERRY BLACKLOCK M.D.
6560 FANNIN ST SUITE 900
HOUSTON, TX 77030-2761
Phone number: 713-441-3800
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Mailing Address
-- JERRY BLACKLOCK M.D.
6560 FANNIN ST SUITE 900
HOUSTON, TX 77030-2761
Phone number: 713-441-3800
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