NPI age
20 years
Enumerated 2005-11-02
Across 2220 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (WY) | 278 | WY LICENSE |
| 05 (CO) | 44833245 | |
| 01 (CO) | P00266055 | RAILROAD MEDICARE |
| 01 (TX) | 1538150206 | INDIVIDUAL NPI |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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