NPI age
10 years
Enumerated 2015-09-27
Across 2220 active physician assistant providers in Texas.
6 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | PA10039 | TEXAS LICENSE |
| 05 (TX) | 3681926-01 |
Solo or small practice. No other active providers share this practice address in NPPES.
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