Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cierra Charrse Black, PA-C

Individual provider Physician Assistant · NPI 1104625383

Cierra Charrse Black, PA-C is a Physician Assistant in Dallas, Texas. Qualified in 2025, 1 year ago. Practices with Ewen Y Tseng MD PA, a 4-clinician group. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1411 N Beckley Ave Ste 363
Dallas, TX 75203-1558
Phone: (214) 305-8667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (TX)

Record details

NPI number1104625383
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 11, 2025
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ewen Y Tseng Md Pa — 4 clinicians
Accepts Medicare assignment Not indicated
Practice locations7 on file with Medicare

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