Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pai Participant 9 PA

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1679135420

Pai Participant 9 PA is a Geriatric Medicine (Internal Medicine) Physician in Elgin, Texas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1373 N Avenue C
Elgin, TX 78621-1528
Phone: (512) 285-2457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1679135420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Ford — Director Of Credentialing · (859) 291-4800
NPI enumeratedJuly 2, 2019
Last updated in NPPESAugust 2, 2025
Certification dateAugust 2, 2025
Mailing addressPo Box 639676, Cincinnati, OH 45263-9676