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SHEPHERD RURAL HEALTH CLINIC PA
NPI 1376629212
Physician Assistant in Shepherd, TX

Active since October 31, 2006
11 WOODLAND PARK DRIVE, SHEPHERD, TX 77371(936) 628-3343 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shepherd Rural Health Clinic Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEPHERD RURAL HEALTH CLINIC PA (NPI 1376629212) is a healthcare organization registered as a physician assistant in Shepherd, Texas and active in the NPI registry since October 2006. The organization lists Philip R Wisiackas, Physician, as its authorized official.

NPPES Registry Identity

NPI1376629212
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameSHEPHERD RURAL HEALTH CLINIC PA
Location Address11 WOODLAND PARK DRIVEShepherd, TX 77371
Mailing AddressPo Box 669Shepherd, TX 77371-0669 · (936) 628-3343
Phone(936) 628-3343
Organization SubpartNo
Authorized OfficialPhilip R WisiackasPhysician · (936) 628-3343
Enumeration DateOctober 31, 2006
Last NPPES UpdateAugust 30, 2010
✔ NPI 1376629212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · F4703
Definition
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 trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11 WOODLAND PARK DRIVE, Shepherd, TX 77371
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Other Identifiers 3

Medicare ID-Type Unspecified453857TX
Medicare UPINE27289TX
Medicaid130767003TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shepherd Rural Health Clinic PA's NPI number?

The NPI number for Shepherd Rural Health Clinic PA is 1376629212. It was assigned to this organization in the NPPES registry on October 31, 2006.

Where is Shepherd Rural Health Clinic PA located?

Shepherd Rural Health Clinic PA is located at 11 Woodland Park Drive, Shepherd, TX 77371. The listed phone number is (936) 628-3343.

What is Shepherd Rural Health Clinic PA's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Shepherd Rural Health Clinic PA was last updated on August 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.