NPI age
12 years
Enumerated 2013-07-01
Across 11022 active physician assistant providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | PA11956 | TEXAS MEDICAL BOARD |
| 01 | 979051 | COMMISSION ON DIETETIC REGISTRATION |
| 01 (TX) | DT81247 | TEXAS DEPARTMENT OF STATE AND HEALTH SERVICES |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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