NPI age
20 years
Enumerated 2005-08-10
Across 11022 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 1032277 | NCCPA |
| 01 (TX) | PA00190 | PHYSICIAN ASSISTANT LICEN |
| 01 (TX) | 8N4306 | BCBS |
Solo or small practice. No other active providers share this practice address in NPPES.
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