Paul David Blair, CSFA
Individual provider Active NPI Surgical Assistant · Cleburne, TX
NPI 1295413995 · NPPES record last updated Jul 17, 2025
Key facts
- NPI
- 1295413995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- License
- 152651 (TX)
- Practice address
- 891 County Road 1123
Cleburne, TX 76033-8087 - Phone
- (214) 227-2457
- Fax
- (214) 764-0880
- NPI assigned
- Jul 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152651 | TX | MD | Surgical Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 152651 | TX | Yes |
Addresses
Primary practice location
891 County Road 1123
Cleburne, TX 76033-8087
Mailing address
891 County Road 1123
Cleburne, TX 76033-8087
Phone (214) 227-2457
Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.