NPI age
20 years
Enumerated 2006-05-05
Across 11022 active physician assistant providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (NV) | NV8674 | BLUE CROSS PROVIDER ID |
| 05 (NV) | 002411112 |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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