NPI age
16 years
Enumerated 2009-10-15
● Active
Type 1 · Individual
Crystal Rolleg, PA-C
Rolleg is 1 of 16 physician assistant providers in Tyler and 1 of 2220 in Texas.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX, AR
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-06-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2220 active physician assistant providers in Texas.
NPI age
16 years
≈ at median (15 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-10Enumerated in NPPES
2009
2026
Where they practice
Practice location
910 E Houston St Ste 270
Tyler, TX 757028367
Mailing address
18626 Hardy Oak Blvd, Suite 300
San Antonio, TX 782584210
Additional practice locations
1 secondary location on file with NPPES.
Location 2
18626 Hardy Oak Blvd, Suite 300
San Antonio, TX 782584210
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1P1862 | MEDICARE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 4 other active providers share 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.