AMANDA R BLALOCK

TYLER, TX
NPI1740681279
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  AP144205)
Enumeration Date2014-09-16
Last Update Date2024-10-03
Business Address
AMANDA R BLALOCK NP
1800 SHILOH RD STE 104
TYLER, TX 75703-2456
Phone number: 903-969-5125
Mailing Address
AMANDA R BLALOCK NP
1800 SHILOH RD STE 104
TYLER, TX 75703-2456
Phone number: 903-969-5125