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 |
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Address | 5301 Mesa Dr, Killeen, Texas |
Phone Number | 2103672432 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1255499968 |
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Provider Enumeration Date | 2006-12-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 5301 Mesa Dr |
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City | Killeen |
State | Texas (TX) |
Post Code | 765428523 |
Phone Number | 2103672432 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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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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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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