Andrew Lee Kubin, PA-C, LAT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA08186 Issued in TX

Practice address

2460 N Interstate 35E
Ste 215
Waxahachie, TX 75165

Phone

(972) 817-9570

Fax

(972) 817-9580

NPI assigned

Jun 7, 2007

Last updated

Jan 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akubin1341149@direct.sw.org
• Direct secure messaging: andrew.kubin.p1@direct.hopehealthtx.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936
  Medicare reassignment
• Healthtexas Provider Network

  dba Symmetry Anesthesia

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD
• Healthtexas Provider Network

  dba One Medical with Baylor Scott & White Health

  • Family Medicine Physician
  • Plano, TX
  • NPI 1124809512
  NPD
• Ellis County Coalition for Health Options

  dba Hope Clinic

  • Federally Qualified Health Center (FQHC)
  • Ennis, TX
  • NPI 1073970141
  NPD (past)
• Ellis County Coalition for Health Options

  dba Hope Clinic

  • Federally Qualified Health Center (FQHC)
  • Waxahachie, TX
  • NPI 1326236464
  NPD (past)
• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1407059405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 LBJ FWY STE 1300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511392",
            "telephone_number": "972-817-9570",
            "fax_number": "972-817-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 N INTERSTATE 35E",
            "address_2": "STE 215",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75165",
            "telephone_number": "972-817-9570",
            "fax_number": "972-817-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBIN",
        "first_name": "ANDREW",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PA-C, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08186",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT2952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajan S Kohli, M.D
• Tulasi Priya Kondapalli, DMD
• Jeffrey Paul Kosoris, D.D.S.
• Gregory P Kroeger, MD
• Kayla Janae Kruse, PTA
• Michael Kubin
• Vickie Ann Kuhn, FNP
• Julie Kvapil, COTA
• La Famille Investments, LP
• Cynthia Kay La Neave, APRN-FNP-C

• Physician Assistant in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.