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

Blake Squires, PA

Individual provider Physician Assistant · NPI 1306430848

Blake Squires, PA is a Physician Assistant in Killeen, Texas. Qualified in 2020, 6 years ago. Works from 3 locations. Licensed in Arizona, Nebraska and Texas.

Years since qualifying
6
Licensed in
AZ, NE, TX
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2405 Clear Creek Rd
Killeen, TX 76549-5775
Phone: (254) 618-1888
Fax: (254) 519-5264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5555 E Baseline Rd, Mesa, AZ 85206-4709 — (480) 393-0575
  • 4021 Avenue B, Scottsbluff, NE 69361-4602 — (308) 635-3711

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11539 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA18017 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 2568 (NE)

Record details

NPI number1306430848
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 25, 2021
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing addressPo Box 844658, Dallas, TX 75284-4658

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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