P Praxis·MD
● Active Type 1 · Individual

MRS. Gina Vandevender, PA

Physician Assistant·Beaumont, TX· NPI 1124039201 · Enumerated 2006 · 19 years on NPI
Vandevender is 1 of 28 physician assistant providers in Beaumont and 1 of 11022 in Texas.
NPI age
19 years
Enumerated 2006-08-11
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-04-21
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 · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
810 Hospital Dr, Ste 115
Beaumont, TX 777014600
📞 4098384533fax 4098331616
Mailing address
810 Hospital Dr, Ste 115
Beaumont, TX 777014600
📞 4098384533fax 4098331616

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 #PA00363 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 16 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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