P Praxis·MD
● Active Type 1 · Individual

MR. Derald Phillips JR., PA

Physician Assistant·Amarillo, TX· NPI 1972083137 · Enumerated 2018 · 7 years on NPI
Phillips is 1 of 8 physician assistant providers in Amarillo and 1 of 2220 in Texas.
NPI age
7 years
Enumerated 2018-08-17
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-05-15
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
7 years
↓ 8 yr below median (15 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Practice location
1901 Medi Park Dr Ste 2050
Amarillo, TX 791062109
📞 8063553352
Mailing address
3605 Portland Ave
Amarillo, TX 791188197
📞 2179180207

Specialties

  • Physician Assistant Primary
    Definition to come...
    TX license #PA12454 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 12 other active providers share 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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