P Praxis·MD
● Active Type 1 · Individual

Lacy Kennedy Eaton, PA

Physician Assistant·Longview, TX· NPI 1245514785 · Enumerated 2011 · 14 years on NPI
Eaton is 1 of 49 physician assistant providers in Longview and 1 of 11022 in Texas.
NPI age
14 years
Enumerated 2011-10-03
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-11-17
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
1
In the 23% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-10Enumerated in NPPES
2011 2026

Where they practice

Practice location
3564 N Fourth St Ste A
Longview, TX 756050039
📞 9032303311fax 9032303312
Mailing address
3564 N Fourth St Ste A
Longview, TX 756050039
📞 9032303311fax 9032303312

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3564 N Fourth St Ste B
Longview, TX 756050039
📞 9032313144fax 9032313230

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 #PA07377 taxonomy 363A00000X
  • Pediatrics
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    TX license #PA07377 taxonomy 208000000X

Practice context

Part of a multi-provider practice. 3 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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