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Dr. Misty Hallonquist Blalock, NP
Family Nurse Practitioner in Daingerfield, Texas
NPI 1114928439

Misty Hallonquist Blalock is a Family Nurse Practitioner based in Lafayette, TX and is specialized in Family. Misty Hallonquist Blalock practices in Daingerfield, TX and has the professional credentials of NP. The NPI Number for Misty Hallonquist Blalock is 1114928439 and holds a License No. 651612 (Texas).

The current practice location address for Misty Hallonquist Blalock is 1304 Linda Dr, Daingerfield, TX and can be reached out via phone at 430-226-5110 and via fax at 430-226-5111.

Location: 1304 Linda Dr, Daingerfield, TX, 70508-3870
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Provider Profile Details
NPI Number
1114928439
Provider Name
Misty Hallonquist Blalock
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1304 Linda Dr, Daingerfield, TX, 70508-3870
Phone Number
430-226-5110
Fax Number
430-226-5111
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12008144 01 CAQH
institution
Provider Business Practice Location Address Details
Address
1304 Linda Dr
City
State
Zip
75638-2130
Phone Number
430-226-5110
Fax Number
430-226-5111
person
Provider Business Mailing Address Details
Address
1304 Linda Dr
City
State
Zip
75638-2130
Phone Number
430-226-5110
Fax Number
430-226-5111
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
651612 (Texas)
Definition
Definition to come...
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