NPI age
19 years
Enumerated 2006-12-05
● Active Type 2 · Organization
Cisco Medical Clinic, P.c.
Cisco Medical Clinic, P.c. is 1 of 11022 physician assistant organizations in Texas.
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stephenson
P. A.
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 11022 active physician assistant providers in Texas.
NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1619 Highway 206
Cisco, TX 764376447
Mailing address
1619 Highway 206
Cisco, TX 764376447
Authorized official
Charles Nevin Stephenson, P.A.
P. A.
📞 2544421441
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Pamela Ezzell, APRN, FNP-C Nurse Practitioner NPI 1780315267
- Keali Mullins Nurse Practitioner NPI 1790320463
- Charles Stephenson, P.A. Physician Assistant NPI 1003984634
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 |
|---|---|---|
| 01 (TX) | PA00390 | PA NUMBER |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.