NPI age
20 years
Enumerated 2005-11-09
Across 2220 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 230590 | PREFERRED ONE |
| 01 | 290000970CT01 | BLUE CROSS |
| 01 | 2V3628 | HEALTHNET MEDICAID |
| 01 | 2V3628 | HEALTHNET |
| 01 | 090970 | CONNECTICARE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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