NPI age
13 years
Enumerated 2012-07-09
Across 11022 active physician assistant providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 3043168-03 | |
| 01 | 8N0473 | BCBS |
| 05 (TX) | 3043168-01 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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