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Jerry Blacklock, MD
Neurological Surgery Physician in Houston, Texas
NPI 1124053392

Jerry Blacklock is a Neurological Surgery Physician based in Houston, TX. Jerry Blacklock practices in Houston, TX and has the professional credentials of MD. The NPI Number for Jerry Blacklock is 1124053392 and holds a License No. G9066 (Texas).

The current practice location address for Jerry Blacklock is 6560 Fannin St, Houston, TX and can be reached out via phone at 713-441-3800.

Location: 6560 Fannin St, Houston, TX, 77030-2761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124053392
Provider Name
Jerry Blacklock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6560 Fannin St, Houston, TX, 77030-2761
Phone Number
713-441-3800
Fax Number
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8GD848 01 TX BCBS
P00216844 01 TX RAILROAD MEDICARE
8EA863 01 TX BLUE CROSS BLUE SHIELD
P01331480 01 TX RR MEDICARE
8R9781 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
6560 Fannin St
City
Houston
State
Texas
Zip
77030-2761
Phone Number
713-441-3800
Fax Number
person
Provider Business Mailing Address Details
Address
6560 Fannin St
City
Houston
State
Texas
Zip
77030-2761
Phone Number
713-441-3800
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
G9066 (Texas)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
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