P Praxis·MD
● Active Type 1 · Individual

MRS. Katrina Marie Jackson, PA-C

Physician Assistant·League City, TX· NPI 1073735445 · Enumerated 2007 · 19 years on NPI
Jackson is 1 of 23 physician assistant providers in League City and 1 of 11022 in Texas.
NPI age
19 years
Enumerated 2007-05-03
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-10-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 11022 active physician assistant providers in Texas.

NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
2911 S Shore Blvd Ste 190
League City, TX 775733919
📞 2815388188fax 2815388189
Mailing address
2523 Potomac Dr
League City, TX 775734847
📞 2815577640

Specialties

  • Physician Assistant Primary
    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...
    TX license #PA030501 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 5 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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