P Praxis·MD
● Active Type 1 · Individual

Kelly Anne Rayburn, PA-C

Physician Assistant·Jbsa Lackland, TX· NPI 1548228398 · Enumerated 2006 · 20 years on NPI
Rayburn is 1 of 5 physician assistant providers in Jbsa Lackland and 1 of 1890 in Texas.
NPI age
20 years
Enumerated 2006-05-02
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-12-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1890 active physician assistant providers in Texas.

NPI age
20 years
↑ 9 yr above median (11 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
1100 Wilford Hall Loop
Jbsa Lackland, TX 782365638
📞 2103140779
Mailing address
10922 Iron Spg
Helotes, TX 780234569
📞 2103140779

Additional practice locations

1 secondary location on file with NPPES.

Location 2
12709 Toepperwein Rd Ste 101
Live Oak, TX 782333259
📞 2104775151fax 2104775152

Specialties

  • Physician Assistant Primary
    Definition to come...
    TX license #PA05332 taxonomy 363AS0400X

Identifiers

TypeValueNotes
05 (TX) 345120501
01 (TX) P01008379 RAILROAD MEDICARE

Practice context

Part of a multi-provider practice. 222 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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