Individual provider · Type 1 NPI

Jordyn Taylor Lacy, PA-C

Physician Assistant · Dallas, TX

NPI number 1194578419 Active

Practice location

3600 Gaston Ave Ste 500
Dallas, TX 75246-1800

Call (505) 235-3368 Map

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other practice locations

  • 100 Medical Pkwy, Lakeway, TX 78738-5621 · (512) 571-5000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA18088 (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 1194578419

Jordyn Taylor Lacy, PA-C's National Provider Identifier is 1194578419, issued on Apr 8, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dallas, TX. The record was last updated on Apr 16, 2026.