NPI age
7 years
Enumerated 2018-08-06
Across 11022 active physician assistant providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 393514001 | |
| 01 (TX) | 393514002 | MEDICAID-CSHCN |
| 01 (TX) | 8KK198 | BCBS |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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