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

Mrs. Katelyn Blake Randles, PA-C

Individual provider Physician Assistant · NPI 1568884930

Mrs. Katelyn Blake Randles, PA-C is a Physician Assistant in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014
Specialties on file
3
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

1935 Medical District Dr
Dallas, TX 75235-7701
Phone: (214) 456-2331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA08819 (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA08819 (TX)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1568884930
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 20, 2014
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

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