NPI age
9 years
Enumerated 2016-10-18
● Active
Type 1 · Individual
Max T Tijerino, PA-C
Tijerino is 1 of 101 physician assistant providers in Tyler and 1 of 11022 in Texas.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2017-02-10
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
9 years
≈ at median (10 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-10Enumerated in NPPES
2016
2026
Where they practice
Practice location
703 S Fleishel Ave, Ste 5000
Tyler, TX 757012015
Mailing address
Po Box 846098
Dallas, TX 752846098
Specialties
-
Physician Assistant PrimaryA 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...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-2616977-039 | TRICARE |
| 01 (TX) | 75-2616977-123 | TRICARE |
| 01 (TX) | 88117MA | BCBS |
| 05 (TX) | 365425301 | |
| 01 (TX) | P01762498 | RAIL ROAD MEDICARE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.