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

Jared Daniel Jacques, PA-C

Individual provider Physician Assistant · NPI 1720840218

Jared Daniel Jacques, PA-C is a Physician Assistant in Tyler, Texas. Qualified in 2023, 3 years ago. Practices with Radiology Associates of North Texas PA, a 341-clinician group and works from 2 locations. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2024
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

627 Turtle Creek Dr
Tyler, TX 75701-1832
Phone: (903) 593-2539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 816 W Cannon St, Ft Worth, TX 76104-3194 — (817) 321-0499

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA17791 (TX)

Record details

NPI number1720840218
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 29, 2024
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024
Mailing address816 W Cannon St, Ft Worth, TX 76104-3194

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Radiology Associates Of North Texas Pa — 341 clinicians
Accepts Medicare assignment Not indicated
Practice locations9 on file with Medicare

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