NPI age
18 years
Enumerated 2007-09-04
Across 11022 active physician assistant providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-2616977-028 | TRICARE |
| 01 (TX) | P00431993 | RAILROAD MEDICARE |
| 01 (TX) | 00T71U | BCBS |
| 05 (TX) | 188998204 | |
| 05 (TX) | 188998205 | |
| 05 (TX) | 188998206 | |
| 01 (TX) | 8Y2728 | BLUE CROSS |
| 01 (TX) | 75-0818167-048 | TRICARE |
| 05 (TX) | 188998203 | |
| 01 (TX) | 75-2616977-001 | TRICARE |
| 01 (TX) | 75-0818167-015 | TRICARE |
| 01 (TX) | 75-2616977-002 | TRICARE |
| 01 (TX) | P01069699 | RAIL ROAD |
| 01 (TX) | 75-0818167-022 | TRICARE |
| 01 (TX) | 75-0818167-044 | TRICARE |
| 01 (TX) | 75-1976930-015 | TRICARE |
| 01 (TX) | 874N75 | BCBS |
| 01 (TX) | 876N24 | BCBS |
| 01 (TX) | 8900NC | BCBS |
| 01 (TX) | P01276459 | RAIL ROAD |
| 01 (TX) | P01304491 | RAIL ROAD |
Part of a multi-provider practice. 321 other active providers share this practice address in NPPES.
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