NPI age
19 years
Enumerated 2007-01-25
Across 2220 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 52057B005 | TRICARE |
| 01 | IA0109 | JOHN DEERE HEALTHCARE |
| 01 (IA) | 25402 | BLUE SHIELD |
Part of a multi-provider practice. 133 other active providers share this practice address in NPPES.
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