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

Ruston Bray, PA

Individual provider Surgical Physician Assistant · NPI 1255373338

Ruston Bray, PA is a Physician Assistant in Henderson, Texas. Qualified in 1994, 32 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
32
Licensed in
TX
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

612 N High St Ste A
Henderson, TX 75652-5914
Phone: (903) 657-1441
Fax: (903) 655-1442
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 323 E Hawkins Pkwy, Longview, TX 75605-7905 — (903) 758-2746

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA00621 (TX)

Record details

NPI number1255373338
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESMay 30, 2019
Mailing address323 E Hawkins Pkwy, Suite A, Longview, TX 75605-7905

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare