NPI age
19 years
Enumerated 2006-10-17
Across 2220 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 184797201 | |
| 01 | 45D1068419 | CLIA ID NUMBER |
| 05 (TX) | 184797202 | |
| 05 (TX) | 184798001 | |
| 01 (TX) | 8Y3148 | BCBS |
| 01 (TX) | PA 03713 | TEXAS MEDICAL BOARD OF PH |
| 01 (TX) | 1055703 | NCCPA |
| 01 (TX) | 1356490882 | NPI |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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