NPI age
19 years
Enumerated 2006-08-18
Across 11022 active physician assistant providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | H08GT84501 | BCBS OF TX |
| 05 (TX) | 356423904 | |
| 01 | 4580969 | AETNA INS |
| 01 | 12007968 | CAQH |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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