PHYSICIAN ASSISTANT SERVICES OF TEXAS L.L.P NPI 1164467692

NPI Information

PHYSICIAN ASSISTANT SERVICES OF TEXAS L.L.P is a medical physician assistant in Fort Worth, TX. PHYSICIAN ASSISTANT SERVICES OF TEXAS L.L.P NPI is 1164467692. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

900 8TH AVE
FORT WORTH, TX
ZIP 76104-902
Phone: (972) 599-0080
Fax: (972) 599-0082

The provider's authorized official is Lonnie James Ginn .
The authorized official title is Owner and has the following contact phone number (972) 599-0080.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 6/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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