NPI age
19 years
Enumerated 2007-02-21
Across 1890 active physician assistant providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | PA03455 | STATE LICENSE |
| 05 (TX) | 281283602 | |
| 05 (TX) | 281283603 | |
| 05 (TX) | 281283601 |
Part of a multi-provider practice. 35 other active providers share this practice address in NPPES.
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