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

Rebecca Blakkolb

Individual provider Physician Assistant · NPI 1851726400

Rebecca Blakkolb is a Physician Assistant in Katy, Texas. Qualified in 2012, 14 years ago. Practices with UT Physicians, a 1,732-clinician group and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
14
Licensed in
IL, TX
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

23910 Katy Fwy Ste 201
Katy, TX 77494-1477
Phone: (713) 486-9800
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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 PA09692 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 085-004703 (IL)

Record details

NPI number1851726400
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2013
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ut Physicians — 1732 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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