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

Jake Blalock, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1841042793

Jake Blalock, MD is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024
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

1400 8th Ave
Fort Worth, TX 76104-4110
Phone: (817) 922-4535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (TX)

Record details

NPI number1841042793
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2024
Last updated in NPPESApril 3, 2024
Certification dateMarch 21, 2024
Mailing address1400 8th Ave, Fort Worth, TX 76104-4110

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