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

Mr. Stephen Tyler Ingram, PA

Individual provider Physician Assistant · NPI 1659780146

Mr. Stephen Tyler Ingram, PA is a Physician Assistant in Austin, Texas. Qualified in 2014, 12 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2014
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

1010 W 40th St
Austin, TX 78746
Phone: (512) 459-8753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1925 State Highway 46 W, New Braunfels, TX 78132-5245 — (830) 643-7000
  • 2604 Saint Michael Dr Ste 425, Texarkana, TX 75503-2378 — (903) 614-5600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10994 (TX)

Record details

NPI number1659780146
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 8, 2014
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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