P Praxis·MD
● Active Type 1 · Individual

Cynthia J Shepherd, PA-C

Physician Assistant·Tyler, TX· NPI 1346349297 · Enumerated 2006 · 19 years on NPI
Shepherd is 1 of 101 physician assistant providers in Tyler and 1 of 11022 in Texas.
NPI age
19 years
Enumerated 2006-09-21
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-10
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

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
5414 S Broadway
Tyler, TX 757031335
📞 9035811601
Mailing address
Po Box 841656
Dallas, TX 752841656
📞 9035315000

Additional practice locations

4 secondary locations on file with NPPES.

Location 2
2101 W Loop 281
Longview, TX 756042506
📞 9033154180
Location 3
1339 S Broadway St
Sulphur Springs, TX 754824895
📞 9039511001
Location 4
3593 E Grande Blvd
Tyler, TX 757071400
📞 9038392585
Location 5
20208 State Highway 155 S
Flint, TX 757625600
📞 9038256222

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 #PA00873 taxonomy 363A00000X

Identifiers

TypeValueNotes
01 (TX) 75-0818167-015 TRICARE
05 (TX) 298380104
01 (TX) 75-2616977-001 TRICARE
01 (TX) 87N530 BCBS
01 (TX) P01762496 RAIL ROAD MEDICARE
01 (TX) 75-0818167-044 TRICARE
01 (TX) 75-2616977-002 TRICARE
01 (TX) 75-2616977-028 TRICARE
01 (TX) P01761917 RAIL ROAD MEDICARE
01 (TX) 75-2616977-129 TRICARE
05 (TX) 298380106
05 (TX) 298380105
01 (TX) 75-0818167-022 TRICARE
01 (TX) 75-0818167-048 TRICARE
05 (TX) 298380107
01 (TX) 75-1976930-005 TRICARE

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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