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

Individual provider Surgical Physician Assistant · NPI 1730164617

Jacquelyn Andrea Coates, PHYSICIANASSISTANT is a Physician Assistant in Corpus Christi, Texas. Qualified in 2004, 22 years ago. Practices with Shea Physical Therapy Specialists LLC, a 192-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
22
Licensed in
TX
In the registry since
2005
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Practice location Address checks out

601 Texan Trl Ste 300
Corpus Christi, TX 78411-2549
Phone: (361) 854-0811
Fax: (361) 806-5040
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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 · Licence PA04397 (TX)

Record details

NPI number1730164617
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedDecember 13, 2005
Last updated in NPPESDecember 14, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Shea Physical Therapy Specialists Llc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Corpus Christi