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

Anne Mickleburgh, PAC

Individual provider Physician Assistant · NPI 1629292669

Anne Mickleburgh, PAC is a Physician Assistant in Waco, Texas. Graduated from University of Texas Medical Branch at Galveston in 1997, 29 years ago. Practices with Legacy Urgent Care PA, a 158-clinician group and works from 2 locations. Licensed in Texas.

Years since qualifying
29
Trained at
University of Texas Medical Branch at Galveston
Licensed in
TX
In the registry since
2007
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2304 Marketplace Dr
Waco, TX 76711-2467
Phone: (254) 202-7300
Fax: (254) 202-7350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4303 Victory Dr, Austin, TX 78704-8870 — (512) 462-3627

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA02063 (TX)

Record details

NPI number1629292669
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESSeptember 23, 2020
Certification dateSeptember 23, 2020
Mailing addressPo Box 848476, Dallas, TX 75284-8476

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 1997 (29 years in practice)
Group practice Legacy Urgent Care Pa — 158 clinicians
Accepts Medicare assignment Not indicated

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