Ingreg Pemberton in Killeen - Physician Assistant

Ingreg Pemberton - NPI 1255499968

Ingreg Pemberton is a Physician Assistant in Killeen, Texas. Ingreg Pemberton practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ingreg Pemberton is 1255499968. The last update date is 2007-07-08.

Ingreg Pemberton's current location address is 5301 Mesa Dr, Killeen, Texas. You can contact this provider via phone number 2103672432. The mailing address for Ingreg Pemberton is 5301 Mesa Dr, Killeen, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Ingreg Pemberton
Address 5301 Mesa Dr, Killeen, Texas
Phone Number 2103672432
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1255499968
Provider Enumeration Date 2006-12-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5301 Mesa Dr
City Killeen
State Texas (TX)
Post Code 765428523
Phone Number 2103672432
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA02917
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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FAQs about Ingreg Pemberton

What is the Ingreg Pemberton's unique identification number?

The Ingreg Pemberton has been assigned the NPI (National Provider Identifier) Number 1255499968 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Ingreg Pemberton located?

The Ingreg Pemberton is located at 5301 Mesa Dr, Killeen, TX 765428523.

What is the area of specialization for Ingreg Pemberton, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ingreg Pemberton is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did Ingreg Pemberton receive its 1255499968 assignment from the Centers for Medicare & Medicaid Services?

The Ingreg Pemberton was assigned its 1255499968 on 2006-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Ingreg Pemberton last refreshed?

The information related to the Ingreg Pemberton, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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