P Praxis·MD
● Active Type 1 · Individual

Celynne Joelle Beaudoin

Physician Assistant·Dallas, TX· NPI 1962043562 · Enumerated 2019 · 6 years on NPI
Beaudoin is 1 of 1160 physician assistant providers in Dallas and 1 of 11022 in Texas.
NPI age
6 years
Enumerated 2019-10-04
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-01
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
6 years
↓ 4 yr below median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-10Enumerated in NPPES
2019 2026

Where they practice

Practice location
1135 N Bishop Ave
Dallas, TX 752084114
📞 2149423100fax 2149483697
Mailing address
7224 S Elwood Ave Apt 29208
Tulsa, OK 741322462
📞 4053153087

Additional practice locations

1 secondary location on file with NPPES.

Location 2
7224 S Elwood Ave Apt 29208
Tulsa, OK 741322462
📞 4053153087

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 #PA15300 taxonomy 363A00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 9 other active providers share 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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