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

Dr. Blake Laursen, DC

Individual provider Physician Assistant · NPI 1972135341

Dr. Blake Laursen, DC is a Physician Assistant in San Antonio, Texas. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2020
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

8715 Village Dr Ste 120
San Antonio, TX 78217-5425
Phone: (210) 477-5151
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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 PA20046 (TX)

Record details

NPI number1972135341
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedFebruary 4, 2020
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing addressPo Box 5730, Belfast, ME 04915-5700

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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