P Praxis·MD
● Active Type 1 · Individual

MISS Jessica Lane Packard

Physician Assistant·La Porte, TX· NPI 1861122160 · Enumerated 2022 · 3 years on NPI
Packard is 1 of 4 physician assistant providers in La Porte and 1 of 1890 in Texas.
NPI age
3 years
Enumerated 2022-06-10
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-06-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1890 active physician assistant providers in Texas.

NPI age
3 years
↓ 8 yr below median (11 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-06Enumerated in NPPES
2022 2026

Where they practice

Practice location
10111 Roseberry Dr
La Porte, TX 775712914
📞 2106609976
Mailing address
10111 Roseberry Dr
La Porte, TX 775712914
📞 2106609976

Specialties

  • Physician Assistant Primary
    Definition to come...
    taxonomy 363AS0400X
  • Specialist/Technologist, Other
    A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting,...
    taxonomy 246ZC0007X

Practice context

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

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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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