NPI age
11 years
Enumerated 2015-02-03
Across 1890 active physician assistant providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NJ) | 0453269 | |
| 01 (TX) | 8GD882 | BCBS |
| 01 (TX) | 8105NT | BCBS |
| 05 (TX) | 354730901 |
Part of a multi-provider practice. 376 other active providers share this practice address in NPPES.
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