Jo Lena Wall is a Physician Assistant in Plains, Texas. Jo Lena Wall practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jo Lena Wall is 1154511129. The last update date is 2007-07-26.
Jo Lena Wall's current location address is 703 Ave G, Plains, Texas. You can contact this provider via phone number 8064566365 and fax number 8064562057. The mailing address for Jo Lena Wall is 703 Ave G, Plains, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jo Lena Wall |
|---|---|
| Address | 703 Ave G, Plains, Texas |
| Phone Number | 8064566365 |
| Fax Number | 8064562057 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1154511129 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2007-07-26 |
Provider Mailing Address Detail
| Address | 703 Ave G |
|---|---|
| City | Plains |
| State | Texas (TX) |
| Post Code | 79355 |
| Phone Number | 8064566365 |
| Fax Number | 8064562057 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA02300 |
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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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What is the unique 10-digit identification code issued to Jo Lena Wall by the Centers for Medicare & Medicaid Services?
The Jo Lena Wall has been assigned the NPI (National Provider Identifier) 1154511129 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Jo Lena Wall is geographically located?
The Jo Lena Wall is physically situated at the following location: 703 Ave G, Plains, TX, 79355.
What is Jo Lena Wall's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jo Lena Wall is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154511129 to Jo Lena Wall?
The Jo Lena Wall received its 1154511129 assignment from the Centers for Medicare & Medicaid Services on 2007-07-26.
As of what date was the information regarding Jo Lena Wall, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jo Lena Wall, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-26.
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