P Praxis·MD
● Active Type 1 · Individual

Mechiell Demetrius Tucker, PA

Physician Assistant·Desoto, TX· NPI 1730101783 · Enumerated 2006 · 19 years on NPI
Tucker is 1 of 13 physician assistant providers in Desoto and 1 of 11022 in Texas.
NPI age
19 years
Enumerated 2006-07-25
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-07-15
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
19 years
↑ 9 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

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
111 Executive Way Ste 102
Desoto, TX 751152388
📞 4699414029
Mailing address
3008 Bayside Dr
Rockwall, TX 750875307
📞 4699519984

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
2727 Bolton Boone Dr, Ste 107
Desoto, TX 751152019
📞 2144532030fax 9722835060
Location 3
4501 Joe Ramsey Blvd E Ste 100
Greenville, TX 754017843
📞 9034085800fax 9034558232

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 #PA02092 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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