NPI age
18 years
Enumerated 2007-08-05
Across 11022 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | PA02452 | MEDICAL LICENSE- PAC |
| 05 (TX) | 2052045-01 |
Solo or small practice. No other active providers share this practice address in NPPES.
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