NPI age
19 years
Enumerated 2007-01-05
Across 11022 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 75-2616977-042 | TRICARE |
| 01 (TX) | 75-2616977-043 | TRICARE |
| 05 (TX) | 286556001 | |
| 01 (TX) | 858N26 | BCBS |
| 01 (TX) | 8J4294 | MEDICARE ID-TYPE UNSPECIFIED |
Part of a multi-provider practice. 41 other active providers share this practice address in NPPES.
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