NPI age
8 years
Enumerated 2018-02-17
Across 1890 active physician assistant providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | MO5633296 | TX CONTROLLED SUBSTANCE LICENSE |
| 01 (TX) | PA13064 | PHYSICIAN ASSISTANT LICENSE -TX |
Solo or small practice. No other active providers share this practice address in NPPES.
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