Michael Clinton Hedgepeth in San Antonio - Physician Assistant

Michael Clinton Hedgepeth - NPI 1558450064

Michael Clinton Hedgepeth is a Physician Assistant in San Antonio, Texas. Michael Clinton Hedgepeth practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Clinton Hedgepeth is 1558450064. The last update date is 2007-09-07.

Michael Clinton Hedgepeth's current location address is 8401 Datapoint Dr, San Antonio, Texas. You can contact this provider via phone number 2106140180. The mailing address for Michael Clinton Hedgepeth is 8401 Datapoint Dr, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Clinton Hedgepeth
Address 8401 Datapoint Dr, San Antonio, Texas
Phone Number 2106140180
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1558450064
Provider Enumeration Date 2006-10-12
Last Updated Date 2007-09-07

Provider Mailing Address Detail

Address 8401 Datapoint Dr
City San Antonio
State Texas (TX)
Post Code 782295900
Phone Number 2106140180
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA02868
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
PA02868 TX TEXAS STATE BOARD LICENSE

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FAQs about Michael Clinton Hedgepeth

What is the unique 10-digit identification code issued to Michael Clinton Hedgepeth by the Centers for Medicare & Medicaid Services?

The Michael Clinton Hedgepeth has been assigned the NPI (National Provider Identifier) 1558450064 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 location address where Michael Clinton Hedgepeth's facilities are situated?

The facilities of Michael Clinton Hedgepeth are physically located at the following address: 8401 Datapoint Dr, San Antonio, TX, 782295900.

What is Michael Clinton Hedgepeth'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 Michael Clinton Hedgepeth is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Michael Clinton Hedgepeth receive the assignment of its 1558450064 from the Centers for Medicare & Medicaid Services?

The Michael Clinton Hedgepeth was issued its 1558450064 by the Centers for Medicare & Medicaid Services on 2006-10-12.

When was the information pertaining to Michael Clinton Hedgepeth most recently updated or revised?

The details related to Michael Clinton Hedgepeth, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-07.

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