Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blanco Regional Clinic, PA

Organization Family Medicine Physician · NPI 1164547519

Blanco Regional Clinic, PA is a Family Medicine Physician in Blanco, Texas. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

825 4th St
Blanco, TX 78606-4913
Phone: (830) 833-5581
Fax: (830) 833-4933
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1164547519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Weaver — President · (830) 833-5581
NPI enumeratedMarch 21, 2007
Last updated in NPPESJune 16, 2008
Mailing addressPo Box 1629, 825 Fourth Street, Blanco, TX 78606-1629