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

Individual provider Medical Physician Assistant · NPI 1922176817

Mr. Roy Dewayne Blount, PA is a Physician Assistant in San Antonio, Texas. Qualified in 2006, 20 years ago. Practices with William A. Tisdall, MD, PA, a 9-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
20
Licensed in
TX
In the registry since
2006
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

1919 Rogers Rd Ste 104
San Antonio, TX 78251-4614
Phone: (210) 541-0700
Fax: (210) 541-6868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 221 3rd St W, Randolph Afb, TX 78150-4800 — (210) 652-4061

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA10680 (TX)

Record details

NPI number1922176817
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 1, 2006
Last updated in NPPESJuly 12, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice William A. Tisdall, M.D., P.A. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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