Individual provider · Type 1 NPI

Tyra Michelle Wilson, PA

Physician Assistant · Shenandoah, TX

NPI number 1194453597 Active

Practice location

134 Vision Park Blvd Ste 310
Shenandoah, TX 77384-3032

Call (936) 447-9452 Map

Mailing address

1201 W University Dr
Edinburg, TX 78539-2909

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	PA18907 (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 1194453597

Tyra Michelle Wilson, PA's National Provider Identifier is 1194453597, issued on Aug 12, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Shenandoah, TX. The record was last updated on Oct 7, 2026.