Angelique A Tijerina in Shenandoah - Physician Assistant
Angelique A Tijerina - NPI 1669523619
Angelique A Tijerina is a Physician Assistant in Shenandoah, Texas. Angelique A Tijerina practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Angelique A Tijerina is 1669523619. The last update date is 2023-04-26.
Angelique A Tijerina's current location address is 135 Vision Park Blvd, Shenandoah, Texas. You can contact this provider via phone number 2814043000 and fax number 9362736911. The mailing address for Angelique A Tijerina is 135 Vision Park Blvd, Shenandoah, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angelique A Tijerina |
|---|---|
| Address | 135 Vision Park Blvd, Shenandoah, Texas |
| Phone Number | 2814043000 |
| Fax Number | 9362736911 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1669523619 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2023-04-26 |
Provider Mailing Address Detail
| Address | 135 Vision Park Blvd |
|---|---|
| City | Shenandoah |
| State | Texas (TX) |
| Post Code | 773843001 |
| Phone Number | 2814043000 |
| Fax Number | 9362736911 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA04249 |
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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 identifier code assigned to Angelique A Tijerina by the Centers for Medicare & Medicaid Services?
The Angelique A Tijerina has been issued the NPI (National Provider Identifier) 1669523619 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Angelique A Tijerina located?
The Angelique A Tijerina is located at 135 Vision Park Blvd, Shenandoah, TX 773843001.
What is Angelique A Tijerina's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Angelique A Tijerina is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Angelique A Tijerina receive its 1669523619 assignment from the Centers for Medicare & Medicaid Services?
The Angelique A Tijerina was assigned its 1669523619 by the Centers for Medicare & Medicaid Services on 2007-01-16.
As of what date were the details related to Angelique A Tijerina most recently updated or revised?
The information pertaining to Angelique A Tijerina, including its address, specialty, and other relevant details, was last updated or revised on 2023-04-26.