P Praxis·MD
● Active Type 1 · Individual

Lydia F. Owen-Wyatt, PA-C

Physician Assistant·Dallas, TX· NPI 1689657132 · Enumerated 2005 · 20 years on NPI
Owen-Wyatt is 1 of 1160 physician assistant providers in Dallas and 1 of 11022 in Texas.
NPI age
20 years
Enumerated 2005-11-29
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-09-03
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 · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
3310 Live Oak St Fl 3, Youth & Family Center
Dallas, TX 752046153
📞 2142661257fax 2142661258
Mailing address
Po Box 660599
Dallas, TX 752660599

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 #PA00528 taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (TX) 060359902
05 (TX) 060359904
05 (TX) 060359907
01 P00049546 RAILROAD MEDICARE
05 (TX) 060359905
05 (TX) 060359906
01 (TX) 8N4424 BLUE CROSS BLUE SHIELD
05 (TX) 060359903

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 15 new physician assistant providers have been added in Dallas 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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