Tamula K Maxwell in Bethany - Physician Assistant
Tamula K Maxwell - NPI 1255303681
Tamula K Maxwell is a Physician Assistant in Bethany, Missouri. Tamula K Maxwell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tamula K Maxwell is 1255303681. The last update date is 2010-06-03.
Tamula K Maxwell's current location address is 3202 Miller St, Bethany, Missouri. You can contact this provider via phone number 6604253154 and fax number 6604256663. The mailing address for Tamula K Maxwell is 3202 Miller St, Bethany, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamula K Maxwell |
|---|---|
| Address | 3202 Miller St, Bethany, Missouri |
| Phone Number | 6604253154 |
| Fax Number | 6604256663 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1255303681 |
|---|---|
| Provider Enumeration Date | 2006-02-01 |
| Last Updated Date | 2010-06-03 |
Provider Mailing Address Detail
| Address | 3202 Miller St |
|---|---|
| City | Bethany |
| State | Missouri (MO) |
| Post Code | 644242713 |
| Phone Number | 6604253154 |
| Fax Number | 6604256663 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2003006425 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2003006425 | MO | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tamula K Maxwell by the Centers for Medicare & Medicaid Services?
The Tamula K Maxwell has been assigned the NPI (National Provider Identifier) 1255303681 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Tamula K Maxwell?
The Tamula K Maxwell is situated at 3202 Miller St, in the city of Bethany, state of MO, with the zip code 644242713.
What is the Tamula K Maxwell's area of specialization and corresponding taxonomy classification?
The Tamula K Maxwell's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Tamula K Maxwell receive the assignment of its 1255303681 from the Centers for Medicare & Medicaid Services?
The Tamula K Maxwell was issued its 1255303681 by the Centers for Medicare & Medicaid Services on 2006-02-01.
When was the Tamula K Maxwell's information last updated?
The Tamula K Maxwell's information was last updated on 2010-06-03.