NPI age
14 years
Enumerated 2012-05-08
● Active
Type 1 · Individual
Stacy Elaine Neudorf, PA-C
Neudorf is 1 of 114 physician assistant providers in Lubbock and 1 of 11022 in Texas.
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-10-18
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
14 years
↑ 4 yr above median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-05Enumerated in NPPES
2012
2026
Where they practice
Practice location
4015 22nd Pl
Lubbock, TX 794101119
Mailing address
3420 22nd Pl
Lubbock, TX 794101314
Specialties
-
Physician Assistant PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (NM) | 96877553 |
Practice context
Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Lubbock in the last 180 days.
See all →
Provyx · Custom healthcare lists
Need all 11022 Physician Assistant providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.