Jake H Kreck, PA-C

Physician assistant in Tyler, Texas · NPI 1851638126

Jake Kreck is one of 211 physician assistants practicing in Tyler, Texas. Jake Kreck practices with Oliver Street 5.01(A) Inc.

Registry record (NPPES)

NPI
1851638126
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant, Medical · 363AM0700X
Address on file
1367 Dominion Plz
Tyler, TX 75703-1013
(903) 534-6200
Enumerated
Jan 7, 2013
Record last updated
Oct 11, 2023
License states listed
TX

Medicare (CMS)

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

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Practice locations

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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.