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

Jacqueline Funk

Individual provider Surgical Physician Assistant · NPI 1104689793

Jacqueline Funk is a Physician Assistant in Dallas, Texas. Qualified in 2024, 2 years ago. Practices with Texas Health Physicians Group, a 1,356-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

8230 Walnut Hl Bldg 3 Ste 320
Dallas, TX 75231
Phone: (214) 369-5432
Fax: (214) 369-5591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1104689793
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2024
Last updated in NPPESJune 9, 2024
Certification dateJune 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Texas Health Physicians Group — 1356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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