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

Blair Shackleton Peterson, PA-C

Individual provider Physician Assistant · NPI 1235523721

Blair Shackleton Peterson, PA-C is a Physician Assistant in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8440 Walnut Hill Ln Ste 610
Dallas, TX 75231-3815
Phone: (214) 345-6000
Fax: (214) 345-6026
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA09776 (TX)

Record details

NPI number1235523721
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 24, 2015
Last updated in NPPESFebruary 20, 2019
Mailing address8440 Walnut Hill Ln Ste 610, Dallas, TX 75231-3815

Other providers in Dallas