NPI age
17 years
Enumerated 2009-04-06
Across 11022 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 1689816688 | TRICARE SOUTH |
| 01 (TX) | 8Y9916 | BCBSTX |
| 05 (TX) | 203212001 | |
| 05 (TX) | 203212004 | |
| 05 (TX) | 203212002 |
Part of a multi-provider practice. 40 other active providers share this practice address in NPPES.
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