P Praxis·MD
● Active Type 1 · Individual

Alyssa Shannon Buckley, PA-C

Physician Assistant·San Antonio, TX· NPI 1972105898 · Enumerated 2020 · 5 years on NPI
Buckley is 1 of 866 physician assistant providers in San Antonio and 1 of 11022 in Texas.
NPI age
5 years
Enumerated 2020-11-16
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
TX, NY, PA
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-10-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 11022 active physician assistant providers in Texas.

NPI age
5 years
↓ 5 yr below median (10 yr)
State licenses
3 states
Top 92% — 7% of peers are multi-state
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-11Enumerated in NPPES
2020 2026

Where they practice

Practice location
4502 Medical Dr
San Antonio, TX 782294402
📞 2103584000fax 2103580647
Mailing address
4502 Medical Dr
San Antonio, TX 782294402
📞 2103584000fax 2103580647

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 #PA18258 taxonomy 363A00000X
  • Physician Assistant
    Definition to come...
    NY license #027233PA license #MA062138 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 1646 other active providers share this practice address in NPPES.

Recently enumerated nearby: 8 new physician assistant providers have been added in San Antonio 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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