NPI age
12 years
Enumerated 2014-01-27
Across 1890 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 12678962 | CAQH |
| 01 | 147107 | NBSTSA BOARD CERTIFICATION |
Solo or small practice. No other active providers share this practice address in NPPES.
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