NPI age
19 years
Enumerated 2006-12-14
Across 2220 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | L0143546 | DPS REGISTRATION NUMBER |
| 01 (TX) | PA04091 | PHYSICIAN ASSISTANT PERMI |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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