NPI age
17 years
Enumerated 2009-03-06
Across 2220 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 332343801 | |
| 01 (TX) | TXB127794 | MEDICARE |
| 01 (TX) | PA05883 | TEXAS LICENSE |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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