is a Physician Assistant in Dallas, Texas. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1649320631. The last update date is .
's current location address is 1717 Main St, Dallas, Texas. You can contact this provider via phone number 2147122000 and fax number 2147122487. The mailing address for is 1717 Main St, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 1717 Main St, Dallas, Texas |
Phone Number | 2147122000 |
Fax Number | 2147122487 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1649320631 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 1717 Main St |
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City | Dallas |
State | Texas (TX) |
Post Code | 752014612 |
Phone Number | 2147122000 |
Fax Number | 2147122487 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA00715 |
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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