P Praxis·MD
● Active Type 1 · Individual

Gregory Richard Tollefsbol, PA-C

Physician Assistant·Desoto, TX· NPI 1487874624 · Enumerated 2007 · 19 years on NPI
Tollefsbol is 1 of 13 physician assistant providers in Desoto and 1 of 11022 in Texas.
NPI age
19 years
Enumerated 2007-04-30
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-11-05
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
1
In the 23% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
2701 Prince George Ave, Suite 100
Desoto, TX 751152045
📞 9722968888fax 9727809550
Mailing address
2701 Prince George Ave, Suite 100
Desoto, TX 751152045
📞 9722968888fax 9727809550

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 #PA02058 taxonomy 363A00000X
  • Physician Assistant
    Definition to come...
    TX license #PA02058 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Desoto in the last 180 days. See all →
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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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