Individual provider · Type 1 NPI

Reagan Tenille Staves, PA

Physician Assistant · Salado, TX

NPI number 1083470496 Active

Practice location

3525 FM 2484
Salado, TX 76571-6169

Call (254) 947-7500 Map

Fax (254) 947-7521

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA18206 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083470496

Reagan Tenille Staves, PA's National Provider Identifier is 1083470496, issued on Feb 23, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salado, TX. The record was last updated on May 21, 2026.