Mr. Charlie S. Blalock is a Fort Worth, Texas based nurse anesthetist with 19 years of experience as Anesthesia Administration. He completed he graduation in 2006. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Charlie S. Blalock is 668515 for Anesthesia Administration in Texas. his current practice location is 4916 Overton Plz, Fort Worth. Patients can reach him at 800-480-1819 or can fax him at 817-334-0235. Mr. Charlie S. Blalock is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1861530156. Mr. Charlie S. Blalock is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mr. Charlie S. Blalock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
19+ years
Medical School Attended:
Other
Graduation Year:
2006
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
4916 Overton Plz, Fort Worth, Texas, 76109-4415
Phone:
800-480-1819
Fax:
817-334-0235
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.
PAC ID:
6709985690
Enrollment ID:
I20070618000282
NPI Number:
1861530156
NPI Enumeration Date:
01 Feb, 2007
NPI Last Update On:
05 Feb, 2009
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Charlie S. Blalock are as mentioned below.
License Number
Specialization
State
Status
668515
Anesthesia Administration
Texas
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Christus Mother Frances Hospital (450102)
Tyler, TX
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Charlie S. Blalock has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Mother Frances Hospital Regional Health Care Center (9234025636)
103
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Charlie S. Blalock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
PENDING
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 50667, Amarillo, Texas
Zip:
79159-0667
Phone Number:
800-480-1819
Fax Number:
817-334-0235
Patients can reach Mr. Charlie S. Blalock at 4916 Overton Plz, Fort Worth, Texas or can call to book an appointment on 800-480-1819.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.