P Praxis·MD
● Active Type 1 · Individual

Kelly A Clinton, PAC

Physician Assistant·Plano, TX· NPI 1669428876 · Enumerated 2006 · 20 years on NPI
Clinton is 1 of 238 physician assistant providers in Plano and 1 of 11022 in Texas.
NPI age
20 years
Enumerated 2006-05-26
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-09-11
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
20 years
↑ 10 yr above median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
4001 W 15th St, Suite 225
Plano, TX 750935841
📞 9725992559fax 9725991226
Mailing address
5445 Caruth Haven Ln, Apt 924
Dallas, TX 752258143
📞 2147977947

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 #PA04635 taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (TX) 280826302
01 (TX) 8Y0105 BCBS
05 (TX) 280826303
01 (TX) 1067023 NCCPA
01 (TX) P01057828 RAILROAD MEDICARE
05 (TX) 280826301

Practice context

Part of a multi-provider practice. 48 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Plano 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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