P Praxis·MD
● Active Type 1 · Individual

Jessica L Pacheco, CSA

Specialist/Technologist, Other·Lytle, TX· NPI 1508419763 · Enumerated 2019 · 6 years on NPI
Pacheco is 1 of 7 specialist/technologist, other providers in Lytle and 1 of 1407 in Texas.
NPI age
6 years
Enumerated 2019-07-17
Primary specialty
Specialist/Technologist, Other
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2019-07-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1407 active specialist/technologist, other providers in Texas.

NPI age
6 years
↓ 3 yr below median (9 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-07Enumerated in NPPES
2019 2026

Where they practice

Practice location
170 Terry Ln
Lytle, TX 780523829
📞 2108358955fax 8307725611
Mailing address
170 Terry Ln
Lytle, TX 780523829
📞 2108358955fax 8307725611

Specialties

  • Specialist/Technologist, Other Primary
    A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting,...
    taxonomy 246ZC0007X

Identifiers

TypeValueNotes
01 (TX) 4991 CERTIFIED SURGICAL ASSISTANT

Practice context

Part of a multi-provider practice. 4 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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