Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blayke McKinzie Ray Wilson, PA-C

Individual provider Physician Assistant · NPI 1700619681

Blayke McKinzie Ray Wilson, PA-C is a Physician Assistant in Lubbock, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2024
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 →

Practice location Address checks out

4015 22nd Pl
Lubbock, TX 79410-1119
Phone: (806) 725-0000
Fax: (806) 723-7146
Show map & directions

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

Additional practice locations (1)

  • 602 Indiana Ave, Lubbock, TX 79415-3364 — (806) 743-7337

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA20926 (TX)

Record details

NPI number1700619681
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 26, 2024
Last updated in NPPESNovember 2, 2026
Certification dateNovember 2, 2026

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