| Randal Blake, PA-C, MPAS | |
|
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
| (910) 907-6000 | |
| Not Available |
| Full Name | Randal Blake |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598479370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1598479370 (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1204584 (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randal Blake, PA-C, MPAS 2817 Reilly St, Fort Bragg, NC 28310-7324 Ph: (910) 907-6000 | Randal Blake, PA-C, MPAS 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (910) 907-6000 |
Jesse Gronsky, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9900 | |
Michael David Gianelle, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-1154 | |
Mr. Cameron Darius Clement, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3880 Roger Brooke Dr., C/o General Surgery Dept/sammc, Fort Sam Houston, TX 78234 Phone: 509-590-8908 | |
William Grisham, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 615-987-2487 | |
John Mcfall, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-8764 | |
Guy-raphael Toussaint, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
William Tyler Barton, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-0808 |