NPI age
7 years
Enumerated 2018-08-01
Across 1890 active physician assistant providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 4111643-01 | |
| 01 (TX) | H08MR507001 | BCBS |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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