Provider Demographics
NPI:1467647719
Name:GAMES, JOSEPH RAY JR (PA-C)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:RAY
Last Name:GAMES
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1524 YORKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-1834
Mailing Address - Country:US
Mailing Address - Phone:214-668-5721
Mailing Address - Fax:
Practice Address - Street 1:800 E DAWSON ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-2036
Practice Address - Country:US
Practice Address - Phone:903-606-4262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4397363A00000X
TXPA 01713363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1I0193OtherMEDICARE
TX219104118Medicaid
TX219104119Medicaid
TX219104101Medicaid
NM77474601Medicaid
TXQ00010980OtherMEDICARE RAILROAD