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BLUEJACK SURGICAL AFFILIATES
NPI 1043869100
Physician Assistant - Surgical in Richardson, TX

Active since September 10, 2019
1202 E ARAPAHO RD STE 122, RICHARDSON, TX 75081(469) 250-4422(469) 250-7068 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bluejack Surgical Affiliates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUEJACK SURGICAL AFFILIATES (NPI 1043869100) is a healthcare organization registered as a surgical in Richardson, Texas and active in the NPI registry since September 2019. The organization lists Christopher John Brock, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1043869100
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameBLUEJACK SURGICAL AFFILIATES
Location Address1202 E ARAPAHO RD STE 122Richardson, TX 75081-2400
Mailing Address1202 E Arapaho Rd Ste 122Richardson, TX 75081-2400 · (469) 250-4422 · Fax (469) 250-7068
Phone(469) 250-4422
Fax(469) 250-7068
Organization SubpartNo
Authorized OfficialChristopher John BrockManaging Partner · (972) 979-6222
Enumeration DateSeptember 10, 2019
✔ NPI 1043869100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
1202 E ARAPAHO RD STE 122, Richardson, TX 75081
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATIENT PLUS
Physician Assistant (Surgical)
1202 E ARAPAHO RD STE 122
RICHARDSON, TX 75081
Dallas County (469) 250-4422
TEXASSIST SURGICAL ASSIST STAFFING
Physician Assistant (Surgical)
1202 E ARAPAHO RD STE 122
RICHARDSON, TX 75081
Dallas County (469) 250-4422
ASHLEY M KALVAITIS PA-C
Physician Assistant
1202 E ARAPAHO RD STE 122
RICHARDSON, TX 75081
Dallas County (469) 250-4422
MR. BRECK JAMES WHEELOCK PA-C
Physician Assistant (Surgical)
1202 E ARAPAHO RD STE 122
RICHARDSON, TX 75081
Dallas County (469) 250-4422
MRS. NICOLE ALEXANDRA MCCAMERON RNFA
Registered Nurse (Registered Nurse First Assistant)
1202 E ARAPAHO RD STE 122
RICHARDSON, TX 75081
Dallas County (972) 567-9937
MR. CHRISTOPHER TODD PEGRAM II CSFA
Surgery
1202 E ARAPAHO RD STE 122
RICHARDSON, TX 75081
Dallas County (469) 250-4422
OMNIA MOHAMED CSA, SA-C
Specialist/Technologist, Other (Surgical Assistant)
1202 E ARAPAHO RD STE 122
RICHARDSON, TX 75081
Dallas County (469) 250-4422
SOUTHASSIST, LLC
Physician Assistant (Surgical)
1202 E ARAPAHO RD STE 122
RICHARDSON, TX 75081
Dallas County (469) 250-4422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bluejack Surgical Affiliates's NPI number?

The NPI number for Bluejack Surgical Affiliates is 1043869100. It was assigned to this organization in the NPPES registry on September 10, 2019.

Where is Bluejack Surgical Affiliates located?

Bluejack Surgical Affiliates is located at 1202 E Arapaho Rd Ste 122, Richardson, TX 75081. The listed phone number is (469) 250-4422.

What is Bluejack Surgical Affiliates's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Bluejack Surgical Affiliates was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.