NPI age
11 years
Enumerated 2014-10-03
Across 11022 active physician assistant providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (PA) | PA10177 | STATE LICENSE |
Part of a multi-provider practice. 106 other active providers share this practice address in NPPES.
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