NPI age
19 years
Enumerated 2007-01-23
Across 11022 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 180523601 | |
| 01 (TX) | P00204396 | RR MEDICARE |
| 01 (TX) | 8N7760 | BCBS |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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