NPI age
15 years
Enumerated 2010-09-14
Across 11022 active physician assistant providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 215608501 | |
| 01 (TX) | 8N5081 | BCBS |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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