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

Individual provider Medical Physician Assistant · NPI 1245476282

Jack D Runyan, PA, PHD is a Medical Physician Assistant in Fairfield, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

734 W Commerce St
Fairfield, TX 75840
Phone: (956) 572-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA 01154 (TX)

Record details

NPI number1245476282
Entity typeIndividual (Type 1)
GenderMale
Credentials PA , PHD
Sole proprietorYes
NPI enumeratedDecember 22, 2008
Last updated in NPPESAugust 7, 2018
Mailing address734 W Commerce St, Fairfield, TX 75840-1428