Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth Mara Blalock, MD

Individual provider Internal Medicine Physician · NPI 1902542533

Elizabeth Mara Blalock, MD is an Internal Medicine Physician in Jbsa Ft Sam Houston, Texas. Licensed in Georgia. Registered with an NPI since 2022.

Licensed in
GA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone: (210) 916-2153
Fax: (210) 916-0709
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 98712 (GA)

Record details

NPI number1902542533
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2022
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026

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