NPI age
19 years
Enumerated 2006-10-05
Across 11022 active physician assistant providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (KY) | ASC1019 | ASC MEDICARE |
| 01 (KY) | 4000501 | MEDICARE LAB GROUP |
| 05 (KY) | 95005351 | |
| 01 (KY) | 37903705 | MEDICAID LAB GROUP |
| 01 (KY) | P00379405 | RR MEDICARE PIN |
| 01 (KY) | CB5773 | RR GROUP NO |
| 05 (IN) | 201162650 | |
| 01 (KY) | 36000818 | ASC MEDICAID GROUP |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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