P Praxis·MD
● Active Type 1 · Individual

MR. Jackie Ray JR., LSA

Physician Assistant·Wylie, TX· NPI 1962866152 · Enumerated 2016 · 10 years on NPI
Ray is 1 of 2 physician assistant providers in Wylie and 1 of 1890 in Texas.
NPI age
10 years
Enumerated 2016-04-13
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-08-02
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
10 years
≈ at median (11 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-04Enumerated in NPPES
2016 2026

Where they practice

Practice location
2007 Megan Ct
Wylie, TX 75098
📞 4696586589
Mailing address
2007 Megan Ct
Wylie, TX 750986019
📞 4696586589

Specialties

  • Physician Assistant Primary
    Definition to come...
    TX license #SA00672 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

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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