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

Thomas Kornieck

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790407534

Thomas Kornieck is a Physician Assistant in Temple, Texas. Qualified in 2022, 4 years ago. Practices with Scott and White Clinic, a 2,429-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

2401 S 31st St
Temple, TX 76508-1707
Phone: (254) 724-2111
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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 PA17150 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790407534
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 19, 2022
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023
Mailing addressPo Box 844658, Dallas, TX 75284-4658

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Temple