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Physician Assistant
NPI: 1265219737IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2023
Contact & Hours
- Address
- 5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390 - Phone
- (214) 648-1701
Quick Facts
- NPI
- 1265219737
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 3
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