NPI age
20 years
Enumerated 2005-11-03
Across 11022 active physician assistant providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 216179601 | |
| 01 (TX) | P00861336 | RAILROAD MEDICARE |
| 01 (TX) | 216179611 | MEDICAID-CSHCN |
| 01 (TX) | 8LZ651 | BCBS |
| 05 (TX) | 216179610 |
Part of a multi-provider practice. 3675 other active providers share this practice address in NPPES.
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