Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kendall Lea Shirey, PA-C

Individual provider Physician Assistant · NPI 1639649247

Kendall Lea Shirey, PA-C is a Physician Assistant in Fort Worth, Texas. Graduated from University of Texas Medical Branch at Galveston in 2018, 8 years ago. Practices with Texas Digestive Disease Consultants, PLLC, a 615-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Trained at
University of Texas Medical Branch at Galveston
Licensed in
TX
In the registry since
2018
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

9509 N Beach St Ste 101
Fort Worth, TX 76244-6399
Phone: (817) 741-4347
Fax: (817) 741-4483
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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 PA12442 (TX)

Record details

NPI number1639649247
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 27, 2018
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2018 (8 years in practice)
Group practice Texas Digestive Disease Consultants, Pllc — 615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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