NPI age
12 years
Enumerated 2013-08-08
Across 1890 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 84NN65 | BCBS |
| 01 (TX) | 12678894 | CAQH |
| 01 (TX) | SA00533 | TEXAS MEDICAL BOARD |
Part of a multi-provider practice. 45 other active providers share this practice address in NPPES.
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