WISE COUNTY ANESTHESIA ASSOCIATES
Medical Practice at Medical Center Dr, Decatur, TX

License number
Texas DOH9805
Category
Medical Practice
Type
Specialist
Owner
Name: DAVID BLAYLOCK DO
Title: OWNER ANESTHESIOLOGIST
Phone: (940) 627-3033
Address
Address
609 Medical Center Dr, Decatur, TX 76234
National Provider ID: 1063552511
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WISE COUNTY ANESTHESIA ASSOCIATES, PA

2380 Preskitt Rd, Decatur, TX 76234

Status:
Inactive
Registration:
Aug 1, 1996
State ID:
0081732403
Business type:
Professional Association
President , Director , Member:
David R. Blaylock President , Director , Member, inactive
TIN:
32036012915

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