Individual provider · Type 1 NPI

Blake William Boelens, PA-C

Physician Assistant · Frisco, TX

NPI number 1407401607 Active

Practice location

11500 State Highway 121 Ste 510
Frisco, TX 75035-9348

Call (469) 200-4093 Map

Fax (469) 200-4079

Mailing address

11500 State Highway 121 Ste 930
Frisco, TX 75035-9347

Other practice locations

  • 281 W Southlake Blvd, Southlake, TX 76092-7052 · (817) 704-1431

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA14195 (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 1407401607

Blake William Boelens, PA-C's National Provider Identifier is 1407401607, issued on Aug 5, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Frisco, TX. The record was last updated on Feb 17, 2026.