P Praxis·MD
● Active Type 2 · Organization

East Texas Physician Assistant Services

Physician Assistant·Tyler, TX· NPI 1407273428 · Enumerated 2014 · 12 years on NPI
East Texas Physician Assistant Services is 1 of 11022 physician assistant organizations in Texas.
NPI age
12 years
Enumerated 2014-03-27
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Layne
Physician Assistant
Last NPPES update
2014-03-27
Source: monthly bulk 2026-05

How this organization compares

Across 11022 active physician assistant providers in Texas.

NPI age
12 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-03Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
5380 Old Bullard Rd Ste 600-125
Tyler, TX 757033607
📞 9035045353
Mailing address
5380 Old Bullard Rd Ste 600-125
Tyler, TX 757033607
📞 9035045353

Authorized official

Jason David Layne, PA-C
Physician Assistant
📞 9035045353

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 #PA04135 taxonomy 363A00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • ETPAS
    Type code 5 recorded 2014-03-27

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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