NPI age
19 years
Enumerated 2006-06-27
Across 2220 active physician assistant providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 28900483 | |
| 01 (TX) | P01663156 | RR MEDICARE |
| 01 (TX) | 421545ZLVQ | MEDICARE |
| 01 (TX) | 8FZ627 | BCBS |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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