NPI age
16 years
Enumerated 2010-01-18
Across 11022 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | PA06557 | PA LICENSE |
| 01 (CT) | 002400 | PA LICENSE |
Part of a multi-provider practice. 100 other active providers share this practice address in NPPES.
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