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

Yadaris Rachelle Bonilla

Individual provider Physician Assistant · NPI 1780462838

Yadaris Rachelle Bonilla is a Physician Assistant in Grapevine, Texas. Qualified in 2023, 3 years ago. Practices with Texas Health Physicians Group, a 1,356-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
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Practice location Address checks out

1600 W Northwest Hwy Ste 100
Grapevine, TX 76051-8131
Phone: (817) 912-0442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6011 Harry Hines Blvd, Dallas, TX 75235-5386 — (214) 648-1500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA17543 (TX)

Record details

NPI number1780462838
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2023
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Texas Health Physicians Group — 1356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Grapevine