NPI age
19 years
Enumerated 2006-06-17
Across 11022 active physician assistant providers in Texas.
7 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (KS) | 200301770A | |
| 01 (TX) | P01078448 | RR MEDICARE |
| 01 (MO) | 196968 | ANTHEM |
| 05 (OK) | 200043740A | |
| 01 (TX) | 1902841919 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 217157102 | |
| 01 (VA) | 0110004634 | LICENCE |
| 05 (TX) | 217157101 | |
| 01 (VA) | 1902841919 | NPI |
| 01 | P00175628 | RR MEDICARE |
Part of a multi-provider practice. 1981 other active providers share this practice address in NPPES.
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