East Texas Physician Assistant Services
NPI 1407273428 · Physician Assistant · Tyler, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Texas Physician Assistant Services is a Physician Assistant organization in Tyler, TX (NPI 1407273428).
Provider details
- NPI number
- 1407273428
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jason Layne, Physician Assistant(903) 504-5353
- License
- PA04135 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Etpas
Registry dates
- Enumerated
- 2014-03-27
- Last updated
- 2014-03-27
Frequently asked questions
- What is East Texas Physician Assistant Services's NPI number?
- East Texas Physician Assistant Services's National Provider Identifier (NPI) is 1407273428, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Texas Physician Assistant Services?
- East Texas Physician Assistant Services is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is East Texas Physician Assistant Services located?
- East Texas Physician Assistant Services's practice location on file with NPPES is 5380 Old Bullard Rd Ste 600-125, Tyler, TX 75703-3607.
- What is East Texas Physician Assistant Services's phone number?
- The practice phone number listed in the NPPES registry for East Texas Physician Assistant Services is (903) 504-5353.
- Does East Texas Physician Assistant Services accept Medicare?
- East Texas Physician Assistant Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Texas Physician Assistant Services?
- The authorized official listed on East Texas Physician Assistant Services's NPPES record is Jason Layne, Physician Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Texas Physician Assistant Services's NPI active?
- Yes — East Texas Physician Assistant Services's NPI (1407273428) is active in the NPPES registry as of the last update on 2014-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.