Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ruston Bray, PA

Individual provider Surgical Physician Assistant · NPI 1255373338

Ruston Bray, PA is a Physician Assistant in Henderson, Texas. Qualified in 1994, 32 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
32
Licensed in
TX
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

612 N High St Ste A
Henderson, TX 75652-5914
Phone: (903) 657-1441
Fax: (903) 655-1442
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 323 E Hawkins Pkwy, Longview, TX 75605-7905 — (903) 758-2746

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA00621 (TX)

Record details

NPI number1255373338
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESMay 30, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare