NPI age
20 years
Enumerated 2006-01-03
Across 2220 active physician assistant providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 1046215 | NCCPA |
| 01 (TX) | PA06993 | STATE LICENSE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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