NPI age
— years
Enumerated 2025-12-24
● Active
Type 1 · Individual
Wilson Lewis Beaverstock
Beaverstock is 1 of 12 physician assistant providers in Waco and 1 of 1890 in Texas.
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-04-20
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
0 years
↓ 11 yr below median (11 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-12Enumerated in NPPES
2025
2026
Where they practice
Practice location
50 Hillcrest Medical Blvd Ste 304
Waco, TX 767128955
Mailing address
Po Box 84891
Dallas, TX 752848491
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 1 other active provider shares 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.