Individual provider · Type 1 NPI

Jason Scott Chastain, PA-C

Medical Physician Assistant · Grapevine, TX

NPI number 1174893465 Active

Practice location

3801 William D Tate Ave # 105
Grapevine, TX 76051-8755

Call (817) 488-6812 Map

Fax (817) 251-1303

Mailing address

3801 William D Tate Ave Ste 105
Grapevine, TX 76051-8755

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA02577 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1174893465

Jason Scott Chastain, PA-C's National Provider Identifier is 1174893465, issued on Jan 4, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grapevine, TX. The record was last updated on Jul 13, 2026.