NPI age
20 years
Enumerated 2005-09-30
Across 11022 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 377795SY18 | MEDICARE PTAN |
| 05 (TX) | 209627301 |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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