Tiffany Kay Wilson, PA

Physician assistant in Shamrock, Texas · NPI 1710920178

Tiffany Wilson is the only physician assistant we list in Shamrock, Texas. See all physician assistants in Texas. Tiffany Wilson practices with Preferred Hospital Leasing Shamrock Inc.

Registry record (NPPES)

NPI: 1710920178
Type: Type 1 · Individual
Primary taxonomy: Physician Assistant · 363A00000X
Address on file: 412 W South St
Henrietta, TX 76365-3348
(940) 235-3403
Enumerated: Jun 14, 2006
Record last updated: May 19, 2021
License states listed: OK, TX

Medicare (CMS)

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

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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history

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Practice locations

1000 S Main St
Shamrock, TX 79079
(806) 256-2114

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.