Thomas Wayne Distel in Henrietta - Physician Assistant
Thomas Wayne Distel - NPI 1932184926
Thomas Wayne Distel is a Physician Assistant in Henrietta, Texas. Thomas Wayne Distel practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Thomas Wayne Distel is 1932184926. The last update date is 2010-07-06.
Thomas Wayne Distel's current location address is Po Box 360, Henrietta, Texas. You can contact this provider via phone number 9405384336 and fax number 9405386271. The mailing address for Thomas Wayne Distel is Po Box 360, Henrietta, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Wayne Distel |
|---|---|
| Address | Po Box 360, Henrietta, Texas |
| Phone Number | 9405384336 |
| Fax Number | 9405386271 |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1932184926 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2010-07-06 |
Provider Mailing Address Detail
| Address | Po Box 360 |
|---|---|
| City | Henrietta |
| State | Texas (TX) |
| Post Code | 763650360 |
| Phone Number | 9405384336 |
| Fax Number | 9405386271 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA01207 |
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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 |
|---|---|---|---|
| PA01207 | TX | ST PA LICENSE |
Post Comment/ Review Below
What is the Thomas Wayne Distel's unique identification number?
The Thomas Wayne Distel has been assigned the NPI (National Provider Identifier) Number 1932184926 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Thomas Wayne Distel?
The Thomas Wayne Distel is situated at Po Box 360, in the city of Henrietta, state of TX, with the zip code 763650360.
What is Thomas Wayne Distel'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 Thomas Wayne Distel is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date was the 1932184926 assigned to Thomas Wayne Distel?
The Thomas Wayne Distel was issued its 1932184926 on 2005-12-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Thomas Wayne Distel, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Thomas Wayne Distel, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-06.