Jason Buckaloo, PA

Physician assistant in Tyler, Texas · NPI 1164016663

Jason Buckaloo is one of 211 physician assistants practicing in Tyler, Texas. Jason Buckaloo practices with Etmc Physician Group, Inc.

Registry record (NPPES)

NPI
1164016663
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
700 Olympic Plaza Cir Ste 600
Tyler, TX 75701-1954
(903) 596-3844
Enumerated
Feb 24, 2021
Record last updated
Jun 16, 2026
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in FL, TX
Physician Assistant
Revalidation due
No date set by CMS

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Practice locations

More physician assistants in Tyler

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.