NPI age
19 years
Enumerated 2006-10-12
Across 11022 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | PA9104967 | FL LICENSE |
| 01 (NY) | 010467 | NYS LICENSE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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