NPI age
19 years
Enumerated 2007-05-22
Across 1890 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1077 | STATE LICENSE |
| 01 (TX) | SA00536 | TEXAS STATE SURGICAL ASSISTANT LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES.
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