Active NPI
Lauryn Haley Tam, PA-C
- Medical Physician Assistant
- Weatherford, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 2111 Fort Worth Hwy
Weatherford, TX 76086-4834 - Phone
- (972) 544-6600
- NPI assigned
- Mar 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | TX | Primary |
Addresses
Primary practice location
2111 Fort Worth Hwy
Weatherford, TX 76086-4834
Mailing address
2111 Fort Worth Hwy
Weatherford, TX 76086-4834
Other practice location 1
1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102
Phone (972) 544-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1023 Lipscomb St
Suite 200
Fort Worth, TX 76104-3129
3016 Crockett St
Apt 318
Fort Worth, TX 76107-7919
7465 E Osborn Rd
Scottsdale, AZ 85251-6590
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siripurapu Associates PLLC Medical Associates of North Texas | Current | Accepting new patients | |
| Fort Worth Institute of Medical Sciences LLC | Current | Accepting new patients |
Locations
1023 Lipscomb St
Ste 200
Fort Worth, TX 76104
Phone (972) 544-6600
2111 Fort Worth Hwy
Weatherford, TX 76086
Phone (817) 596-3700
2111 Fort Worth Hwy
Ste 100
Weatherford, TX 76086
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1689455685
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1023495702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1386590362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 FORT WORTH HWY",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760864834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 FORT WORTH HWY",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760864834",
"telephone_number": "972-544-6600"
}
],
"practiceLocations": [
{
"address_1": "1023 Lipscomb St Ste 200",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761043102",
"country_code": "US",
"telephone_number": "972-544-6600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAM",
"first_name": "LAURYN",
"middle_name": "HALEY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-10",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.