P Praxis·MD
● Active Type 1 · Individual

Jessica Fanty, LMSW

General Practice·Jbsa Lackland, TX· NPI 1639965833 · Enumerated 2025 · 1 years on NPI
Fanty is 1 of 36 general practice providers in Jbsa Lackland and 1 of 2087 in Texas.
NPI age
1 years
Enumerated 2025-04-16
Primary specialty
General Practice
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-04-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2087 active general practice providers in Texas.

NPI age
1 years
↓ 9 yr below median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-04Enumerated in NPPES
2025 2026

Where they practice

Practice location
1100 Wilford Hall Loop Bldg 455459
Jbsa Lackland, TX 782365638
📞 2102925972
Mailing address
1100 Wilford Hall Loop Bldg 455459
Jbsa Lackland, TX 782365638
📞 2102925972

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    TX license #113785 taxonomy 208D00000X

Practice context

Part of a multi-provider practice. 15 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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