NPI age
19 years
Enumerated 2006-05-31
Across 11022 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 835N16 | BC/BS TX - EFFECT. 02/01/2011 |
| 01 (TX) | TXB121232 | MEDICARE PART B EFFECT 02/01/2011 |
| 01 (TX) | 87N310 | BCBS |
Part of a multi-provider practice. 75 other active providers share this practice address in NPPES.
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