NPI age
20 years
Enumerated 2006-05-24
Across 11022 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 191942503 | |
| 01 (TX) | 8K7712 | MEDICARE-00606K |
| 01 (TX) | PA03114 | TEXAS STATE LICENSE |
| 01 (TX) | 191942501 | MEDICAID-00339K |
| 01 (TX) | 8G6750 | MEDICARE-00339K |
| 01 (TX) | 191942502 | MEDICAID-00606K |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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