Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gregory Richard Tollefsbol, PA-C

Individual provider Physician Assistant · NPI 1487874624

Gregory Richard Tollefsbol, PA-C is a Physician Assistant in Desoto, Texas. Qualified in 1997, 29 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
29
Licensed in
TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2701 Prince George Ave Ste 100
Desoto, TX 75115-2045
Phone: (972) 296-8888
Fax: (972) 780-9550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA02058 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA02058 (TX)

Record details

NPI number1487874624
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 30, 2007
Last updated in NPPESNovember 5, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Desoto