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

Tiffany Kay Wilson, PA

Individual provider Physician Assistant · NPI 1710920178

Tiffany Kay Wilson, PA is a Physician Assistant in Henrietta, Texas. Qualified in 2003, 23 years ago. Practices with Preferred Hospital Leasing Shamrock Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Oklahoma and Texas.

Years since qualifying
23
Licensed in
OK, TX
In the registry since
2006
Specialties on file
2
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

412 W South St
Henrietta, TX 76365-3348
Phone: (940) 235-3403
Fax: (580) 272-0186
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA04018 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 2381 (OK)

Record details

NPI number1710920178
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESMay 19, 2021
Certification dateMay 19, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Preferred Hospital Leasing Shamrock Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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