NPI age
20 years
Enumerated 2005-10-17
Across 2220 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | PA01891 | LICENSE NUMBER |
| 01 (TX) | K0133310 | DPS NUMBER |
| 05 (TX) | 124784302 | |
| 01 (TX) | 7969031 | AETNA |
| 01 (TX) | 86N191 | BCBS |
Part of a multi-provider practice. 224 other active providers share this practice address in NPPES.
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