Individual provider · Type 1 NPI

Blayke McKinzie Ray Wilson, PA-C

Physician Assistant · Lubbock, TX

NPI number 1700619681 Active

Practice location

4015 22nd Pl
Lubbock, TX 79410-1119

Call (806) 725-0000 Map

Fax (806) 723-7146

Mailing address

3601 4th St
Lubbock, TX 79430-0002

Other practice locations

  • 602 Indiana Ave, Lubbock, TX 79415-3364 · (806) 743-7337

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA20926 (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 1700619681

Blayke McKinzie Ray Wilson, PA-C's National Provider Identifier is 1700619681, issued on Aug 26, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lubbock, TX. The record was last updated on Nov 2, 2026.