Individual
BLAKE STEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC-C
Contact information
Practice address
923 PENNSYLVANIA AVENUE, SUITE 100, FORT WORTH, TX 76104-2254
(817) 920-0484
(817) 920-0068
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10216
TX
Other
Enumeration date
09/23/2015
Last updated
11/18/2015
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