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

Individual provider Physician Assistant · NPI 1922510965

Wynne Ly, PA-C is a Physician Assistant in Houston, Texas. Qualified in 2017, 9 years ago. Practices with Physicians Referral Service, a 2,727-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2017
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

1515 Holcombe Blvd
Houston, TX 77030-4000
Phone: (713) 792-6161
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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 PA11516 (TX)

Record details

NPI number1922510965
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 31, 2017
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Physicians Referral Service — 2727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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