Individual
ISIAH BLAKE ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8214 MILWAUKEE AVE STE 200, LUBBOCK, TX 79424-0959
(806) 475-5544
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3545
(806) 775-9700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19041
TX
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/16/2026
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