NPI age
13 years
Enumerated 2013-04-11
Across 2220 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 343547YLAL | MEDICARE |
| 05 (TX) | 333496301 | |
| 01 (TX) | PA08332 | LICENSE |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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