NPI age
19 years
Enumerated 2006-09-13
Across 11022 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1071690 | NCCPA CERTIFICATION |
| 01 (TX) | D0171280 | DPS REGISTRATION |
| 01 (TX) | PA04899 | TX MEDICAL BOARD LICENSE/PERMIT |
Part of a multi-provider practice. 32 other active providers share this practice address in NPPES.
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