P Praxis·MD
● Active Type 1 · Individual

Stephen Elledge, P.A.

Physician Assistant·Jbsa Lackland, TX· NPI 1063829653 · Enumerated 2014 · 11 years on NPI
Elledge is 1 of 5 physician assistant providers in Jbsa Lackland and 1 of 1890 in Texas.
NPI age
11 years
Enumerated 2014-07-16
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1890 active physician assistant providers in Texas.

NPI age
11 years
≈ at median (11 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
2
In the 32% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-07Enumerated in NPPES
2014 2026

Where they practice

Practice location
1100 Wilford Hall Loop Fl 1
Jbsa Lackland, TX 782365638
📞 2102923473
Mailing address
1100 Wilford Hall Loop Fl 1
Jbsa Lackland, TX 782365638
📞 2102923473

Specialties

  • Physician Assistant Primary
    Definition to come...
    taxonomy 363AS0400X
  • Military Health Care Provider
    Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
    taxonomy 171000000X
  • Physician Assistant
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    taxonomy 363A00000X

Practice context

Solo or small practice. No 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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