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

Individual provider Physician Assistant · NPI 1780053488

Blake Stearns, PC-C is a Physician Assistant in Fort Worth, Texas. Qualified in 2015, 11 years ago. Practices with Evan W Beale MD PA, a 2-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2015
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Practice location Address checks out

923 Pennsylvania Ave Ste 100
Fort Worth, TX 76104-2254
Phone: (817) 920-0484
Fax: (817) 920-0068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10216 (TX)

Record details

NPI number1780053488
Entity typeIndividual (Type 1)
GenderFemale
Credentials PC-C
Sole proprietorNo
NPI enumeratedSeptember 23, 2015
Last updated in NPPESNovember 18, 2015
Mailing addressP.O. Box 961205, Fort Worth, TX 76161-1205

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Evan W Beale Md Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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