NPI age
16 years
Enumerated 2009-10-05
Across 11022 active physician assistant providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | PA07345 | PHYSICIAN ASSISTANCE LICENSE |
| 01 (PA) | MA054310 | STATE BOARD OF MEDICINE |
| 01 (NY) | 013586 | LICENSE |
Part of a multi-provider practice. 1981 other active providers share this practice address in NPPES.
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