NPI age
19 years
Enumerated 2006-08-30
Across 11022 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1841991-04 | |
| 01 (TX) | 8888NK | BCBS |
| 01 | 1037608 | NCCPA CERTIFICATION NUMBER |
| 01 (TX) | 970030289 | MEDICARE RAILROAD NUMBER |
| 01 (TX) | PA - 02103 | STATE LICENSE NUMBER |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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