P Praxis·MD
● Active Type 1 · Individual

Marvin Dean Pennington, PA

Physician Assistant·Tyler, TX· NPI 1972534683 · Enumerated 2006 · 19 years on NPI
Pennington is 1 of 18 physician assistant providers in Tyler and 1 of 1890 in Texas.
NPI age
19 years
Enumerated 2006-07-05
Primary specialty
Physician Assistant
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1890 active physician assistant providers in Texas.

NPI age
19 years
↑ 8 yr above median (11 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
3414 Golden Rd
Tyler, TX 757018336
📞 9039397500fax 8002480426
Mailing address
3414 Golden Rd
Tyler, TX 757018336
📞 9039397500fax 8002480426

Specialties

  • Physician Assistant Primary
    Definition to come...
    taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 61 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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