Dermatology, MOHS-Micrographic Surgery
Dr. TRAVIS BLALOCK M.D.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1710195003 · enumerated 2007-05-18 · record updated 2021-02-12. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 619 NE 13TH ST, OKLAHOMA CITY, OK, 73104-5001 (405) 271-6110 Google Maps Apple Maps OpenStreetMap
- Mailing address 1525 CLIFTON RD NE STE 112A, ATLANTA, GA, 30322-4200 (404) 778-3333 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology, MOHS-Micrographic Surgery 207ND0101X · Primary · License 73100 GA
- Dermatology, Procedural Dermatology 207NS0135X · License A116875 CA
In this directory
OK Oklahoma County Oklahoma City Dermatology, MOHS-Micrographic Surgery
Locations and evidence
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Practice location
OKLAHOMA CITY, OK, 731045001
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.