Individual provider · Type 1 NPI

Blair Shackleton Peterson, PA-C

Physician Assistant · Dallas, TX

NPI number 1235523721 Active

Practice location

8440 Walnut Hill Ln Ste 610
Dallas, TX 75231-3815

Call (214) 345-6000 Map

Fax (214) 345-6026

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA09776 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1235523721

Blair Shackleton Peterson, PA-C's National Provider Identifier is 1235523721, issued on Mar 24, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dallas, TX. The record was last updated on Feb 20, 2019.