Provider Demographics
NPI:1285812685
Name:EWING, HELEN ELAINE (MPAS, PA-C)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:ELAINE
Last Name:EWING
Suffix:
Gender:F
Credentials:MPAS, PA-C
Other - Prefix:
Other - First Name:ELAINE
Other - Middle Name:EWING
Other - Last Name:VER HALEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PAC
Mailing Address - Street 1:2758 GLORY LN
Mailing Address - Street 2:
Mailing Address - City:TROPHY CLUB
Mailing Address - State:TX
Mailing Address - Zip Code:76262-7213
Mailing Address - Country:US
Mailing Address - Phone:713-818-5367
Mailing Address - Fax:817-546-6773
Practice Address - Street 1:815 IRA E WOODS AVE STE 200
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-4009
Practice Address - Country:US
Practice Address - Phone:817-546-6772
Practice Address - Fax:817-546-6773
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
TN1717363A00000X
TXPA05606363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Y3814OtherBCBS
1080640OtherNCCPA
1080640OtherNCCPA