P Praxis·MD
● Active Type 1 · Individual

Jason Robert Crockett, PA-C

Physician Assistant·San Antonio, TX· NPI 1497995245 · Enumerated 2009 · 17 years on NPI
Crockett is 1 of 866 physician assistant providers in San Antonio and 1 of 11022 in Texas.
NPI age
17 years
Enumerated 2009-03-05
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-04-20
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
17 years
↑ 7 yr above median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-03Enumerated in NPPES
2009 2026

Where they practice

Practice location
7431 Nw Loop 410 Ste 109
San Antonio, TX 782453597
📞 2104777190fax 2104777195
Mailing address
2961 Mossrock
San Antonio, TX 782305119
📞 2107314800fax 2107314810

Additional practice locations

1 secondary location on file with NPPES.

Location 2
6157 Nw Loop 410, 124
San Antonio, TX 78238
📞 2105231411fax 2105239307

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 #PA08628 taxonomy 363A00000X

Identifiers

TypeValueNotes
01 (TX) 3560419-01 WELLMED MEDICAID
01 (TX) 484297YPLS WELLMED MEDICARE

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 8 new physician assistant providers have been added in San Antonio 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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