NPI age
19 years
Enumerated 2006-06-12
Across 11022 active physician assistant providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 776514 | MEDICARE |
| 01 (TX) | 75-2616977-042 | TRICARE |
| 05 (TX) | 183908601 | |
| 05 (TX) | 183908603 | |
| 01 (TX) | 8Y9987 | BCBS OF TEXAS |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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