John Edward Short in El Paso - Physician Assistant

John Edward Short - NPI 1700935277

John Edward Short is a Physician Assistant in El Paso, Texas. John Edward Short practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John Edward Short is 1700935277. The last update date is 2012-02-16.

John Edward Short's current location address is 10400 Vista Del Sol Dr Ste 204, El Paso, Texas. You can contact this provider via phone number 9155981005. The mailing address for John Edward Short is 10400 Vista Del Sol Dr Ste 204, El Paso, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name John Edward Short
Address 10400 Vista Del Sol Dr Ste 204, El Paso, Texas
Phone Number 9155981005
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1700935277
Provider Enumeration Date 2007-01-10
Last Updated Date 2012-02-16

Provider Mailing Address Detail

Address 10400 Vista Del Sol Dr Ste 204
City El Paso
State Texas (TX)
Post Code 799257924
Phone Number 9155981005
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA03258
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
40379761 NM --
218658701 TX --

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FAQs about John Edward Short

What is the unique 10-digit identification code assigned to John Edward Short by the Centers for Medicare & Medicaid Services?

The John Edward Short has been issued the NPI (National Provider Identifier) 1700935277, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of John Edward Short?

The John Edward Short is situated at 10400 Vista Del Sol Dr Ste 204, in the city of El Paso, state of TX, with the zip code 799257924.

What is John Edward Short's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for John Edward Short is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1700935277 to John Edward Short?

The Centers for Medicare & Medicaid Services originally issued the 1700935277 to John Edward Short on 2007-01-10.

When was the information related to John Edward Short most recently updated or refreshed?

The details pertaining to the John Edward Short, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-02-16.

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