is a Physician Assistant in Houston, Texas. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1124139076. The last update date is .
's current location address is 5656 Kelley St # 1ec1347, Houston, Texas. You can contact this provider via phone number 7135007885. The mailing address for is 5656 Kelley St # 1ec1347, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 5656 Kelley St # 1ec1347, Houston, Texas |
| Phone Number | 7135007885 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1124139076 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 5656 Kelley St # 1ec1347 |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770261967 |
| Phone Number | 7135007885 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA04926 |
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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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