NPI age
14 years
Enumerated 2011-06-13
Across 11022 active physician assistant providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | PA60846633 | STATE LICENSE |
| 01 (TX) | PA02898 | STATE LICENSE NUMBER |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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