NPI age
7 years
Enumerated 2018-10-23
Across 2220 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200859940A | |
| 01 (TX) | P02599432 | RR MCR |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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