NPI age
16 years
Enumerated 2009-08-31
Across 11022 active physician assistant providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 408946801 | |
| 01 | 1A2046 | MEDICARE |
| 01 | P02466967 | RR MEDICARE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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