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

Katie Colleen Pedicord, PA

Individual provider Medical Physician Assistant · NPI 1659489920

Katie Colleen Pedicord, PA is a Physician Assistant in Dallas, Texas. Graduated from University of Oklahoma College of Medicine in 2004, 22 years ago. Practices with Thornwell H Parker III M D P A, a 4-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
22
Trained at
University of Oklahoma College of Medicine
Licensed in
TX
In the registry since
2006
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

8230 Walnut Hill Ln Ste 808
Dallas, TX 75231-4482
Phone: (214) 696-8828
Fax: (214) 696-1444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA04430 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA04430 (TX)

Record details

NPI number1659489920
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 28, 2006
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Thornwell H Parker Iii M D P A — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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