Unknown Individual – Medical Physician Assistant, NPI 1013154772
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
East Hebron Parkway, Hebron, Carrollton, Denton County, Texas, 75187, United States
CARROLLTON, TX 750071525
Phone: (972) 939-4646
Type: Location
2336, Whistler Creek Drive, Fort Worth, Tarrant County, Texas, 76177, United States
APT 127
FORT WORTH, TX 761778221
Phone: (817) 343-0773
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75007)
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