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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLAKE SQUIRES, PA

Active

BLAKE SQUIRES, PA is a Physician Assistant healthcare provider located in KILLEEN, Texas. NPI 1306430848 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · KILLEEN, TX

Registration Details

NPI Number
1306430848
Provider Type
Individual
Gender
Male
NPI Issued
Feb 25, 2021 (5.4387564297501 yrs)
Last Updated
Aug 21, 2024
Licenses
2568 (NE)
PA18017 (TX)

Practice Information

Address
2405 CLEAR CREEK RD
KILLEEN, TX, 765495775
Browse TX providers · Browse ZIP 76549
Phone
2546181888
Fax
2545195264
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in KILLEEN, TX

Name Credential NPI
MS. SCARLETT ANGELA FOSTER MPAS, PA-C 1144211004
STEPHANIE CORBETT P.A.-C 1306813951
PATTY HICKS PA 1316900624
KATRINA REAGAN LYNCH PA-C 1154337863
DON O. WILLIAMS 1407950579
MR. DAVID HENRY MITCHELL PA 1720171846
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.