NPI age
12 years
Enumerated 2013-09-20
Across 2220 active physician assistant providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | PA08676 | TEXAS MEDICAL BOARD |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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