NPI age
19 years
Enumerated 2006-08-01
Across 1890 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1467469809 | NPI # |
| 01 (TX) | 0088KE | BC/BS PROVIDER NUMBER |
| 01 (TX) | 11610001 | CAQH ID# |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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