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

Individual provider Physician Assistant · NPI 1396444766

Jack Guillory, PA-C is a Physician Assistant in Houston, Texas. Qualified in 2022, 4 years ago. Practices with Baylor College of Medicine, a 1,218-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2023
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

7200 Cambridge St
Houston, TX 77030-4202
Phone: (713) 798-8106
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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 PA16589 (TX)
Physician Assistant Taxonomy 363A00000X (TX)

Record details

NPI number1396444766
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 24, 2023
Last updated in NPPESMarch 6, 2023
Certification dateMarch 6, 2023
Mailing address7200 Cambridge St Ste 10c, Houston, TX 77030-4202

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Baylor College Of Medicine — 1218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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