NPI age
19 years
Enumerated 2007-01-04
Across 11022 active physician assistant providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 210705402 | |
| 05 (TX) | 210705406 | |
| 05 (TX) | 210705403 | |
| 01 (IL) | P00476234 | RAILROAD |
Part of a multi-provider practice. 41 other active providers share this practice address in NPPES.
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