NPI age
14 years
Enumerated 2011-07-25
Across 1890 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 741889584 | TAX ID # |
| 01 (TX) | B0178864 | DPS |
| 01 (TX) | PA07043 | TEXAS LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES.
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