P Praxis·MD
● Active Type 1 · Individual

MISS Tamria Denise Blackley, CPNP-PC

Specialist·Lake Jackson, TX· NPI 1457625345 · Enumerated 2012 · 14 years on NPI
Blackley is 1 of 15 specialist providers in Lake Jackson and 1 of 4038 in Texas.
NPI age
14 years
Enumerated 2012-02-24
Primary specialty
Specialist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-07-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4038 active specialist providers in Texas.

NPI age
14 years
↓ 4 yr below median (18 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-02Enumerated in NPPES
2012 2026

Where they practice

Practice location
208 Oak Dr S, 400a
Lake Jackson, TX 775665790
📞 9792852900fax 9792852904
Mailing address
208 Oak Dr S, 400a
Lake Jackson, TX 775665790
📞 9792852900fax 9792852904

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    TX license #715129 taxonomy 174400000X

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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