NPI age
19 years
Enumerated 2006-12-29
Across 2220 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 20132065 | TX DPS REGIST. NO. |
| 01 (TX) | PA03531 | STATE LICENSE |
| 05 (TX) | 116581301 |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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