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

Blake Archer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730875790

Blake Archer is a Student in an Organized Health Care Education/Training Program in Waco, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1600 Providence Dr
Waco, TX 76707-2261
Phone: (254) 313-4418
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence V3235 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730875790
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 13, 2023
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address1600 Providence Dr, Waco, TX 76707-2261

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