NPI age
20 years
Enumerated 2006-04-07
Across 1890 active physician assistant providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MD) | P00187315 | R/R MEDICARE PROVIDER # |
| 01 (MD) | CA8374 | R/R MEDICARE GROUP # |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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