Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kassidy Nicole Rico, PA-C

Individual provider Physician Assistant · NPI 1508875659

Mrs. Kassidy Nicole Rico, PA-C is a Physician Assistant in Dallas, Texas. Qualified in 2005, 21 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
21
Licensed in
TX
In the registry since
2006
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

3900 Junius St Ste 500
Dallas, TX 75246-1615
Phone: (469) 800-7200
Fax: (469) 800-7210
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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 PA04605 (TX)

Record details

NPI number1508875659
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 7, 2006
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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