Individual provider · Type 1 NPI

Kennedy Nicole Gombert

Physician Assistant · Richardson, TX

NPI number 1154199792 Active

Practice location

2323 N Central Expy
Richardson, TX 75080-2712

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Other practice locations

  • 200 N Arch St, Royse City, TX 75189-8631 · (972) 771-8111
  • 325 FM 548 Ste 100, Forney, TX 75126-6992 · (972) 771-8111
  • 4200 W University Dr, Prosper, TX 75078-9805 · (682) 303-4200
  • 1301 Summer Lee Dr, Rockwall, TX 75032-5452 · (972) 771-8111
  • 200 N Virginia St, Terrell, TX 75160-2732 · (972) 771-8111
  • 731 Woodbridge Pkwy Ste 100, Wylie, TX 75098-7165 · (972) 771-8111

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA19009 (TX)
Physician Assistant Primary 363A00000XPA19009 (TX)
Medical Physician Assistant 363AM0700XPA19009 (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 1154199792

Kennedy Nicole Gombert's National Provider Identifier is 1154199792, issued on Dec 13, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Richardson, TX. The record was last updated on Oct 23, 2026.