Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN ELLEDGE, P.A.
ActiveSTEPHEN ELLEDGE, P.A. is a Surgical Physician Assistant healthcare provider located in JBSA LACKLAND, Texas. NPI 1063829653 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · JBSA LACKLAND, TX
Registration Details
- NPI Number
- 1063829653
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2014 (12.04469518708 yrs)
- Last Updated
- Mar 24, 2025
Practice Information
- Address
-
1100 WILFORD HALL LOOP FL 1JBSA LACKLAND, TX, 782365638Browse TX providers · Browse ZIP 78236
- Phone
- 2102923473
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in JBSA LACKLAND, TX
| Name | Credential | NPI |
|---|---|---|
| MR. JOSEPH MARSHALL BARTLE II | PA-C | 1437119195 |
| KELLY ANNE RAYBURN | PA-C | 1548228398 |
| MICHAEL J RUTTER | MPAS, PA-C | 1801952015 |
| CARL EDWARD BEMIS | PHYSICIAN ASSISTANT | 1497998504 |
| MS. CHANISE CYRUS | PA-C, DSC, MPAS | 1083080691 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.