NPI age
19 years
Enumerated 2006-07-05
Across 11022 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 181502903 | |
| 01 (TX) | 858N25 | BCBS |
| 01 (TX) | 75-2616977-021 | TRICARE |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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