NPI age
20 years
Enumerated 2005-06-21
Across 11022 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P00240622 | MEDICARE - RR |
| 01 | PA02800 | TX LICENSE |
| 05 (NM) | 000F0777 | |
| 01 (TX) | 8J9261 | PTAN WHEN AT NORTH TEXAS DIABETES & ENDO |
| 01 (TX) | 8N6038 | BCBS |
| 05 (TX) | 082062301 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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