NPI age
20 years
Enumerated 2006-04-20
Across 11022 active physician assistant providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 323920402 | |
| 01 | 616771110 | US DEPT OF LABOR |
| 01 | 616771105 | US DEPT OF LABOR |
| 05 (TX) | 323920405 | |
| 01 (TX) | 1962467068 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 8409ND | BLUE CROSS BLUE SHIELD |
| 01 | 616771101 | US DEPT OF LABOR |
| 05 (TX) | 323920401 | |
| 01 | 601771109 | US DEPT OF LABOR |
| 01 (TX) | P01258234 | MEDICARE RR |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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