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

Bluejack Surgical Affiliates

Organization Surgical Physician Assistant · NPI 1043869100

Bluejack Surgical Affiliates is a Surgical Physician Assistant in Richardson, Texas. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1202 E Arapaho Rd Ste 122
Richardson, TX 75081-2400
Phone: (469) 250-4422
Fax: (469) 250-7068
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1043869100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Brock — Managing Partner · (972) 979-6222
NPI enumeratedSeptember 10, 2019
Last updated in NPPESSeptember 10, 2019
Mailing address1202 E Arapaho Rd Ste 122, Richardson, TX 75081-2400

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