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

Justin Robert Fawell, PA

Individual provider Physician Assistant · NPI 1952552291

Justin Robert Fawell, PA is a Physician Assistant in Fort Worth, Texas. Qualified in 2008, 18 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Texas.

Years since qualifying
18
Licensed in
CA, TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5750 W Vickery Blvd Ste 104
Fort Worth, TX 76107-7448
Phone: (817) 732-2878
Fax: (817) 732-9315
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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 PA10075 (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA19986 (CA)

Record details

NPI number1952552291
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 6, 2008
Last updated in NPPESAugust 15, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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