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

Jerry Blacklock, MD

Individual provider Neurological Surgery Physician · NPI 1124053392

Jerry Blacklock, MD is a Neurological Surgery Physician in Houston, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
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

6560 Fannin St Ste 900
Houston, TX 77030-2761
Phone: (713) 441-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence G9066 (TX)

Record details

NPI number1124053392
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESJanuary 24, 2017
Mailing address6560 Fannin St, Suite 900, Houston, TX 77030-2761

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