Icw Ta
Icw Ta is a Medical Physician Assistant in Wichita Falls, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
Practice location Address checks out
1411 13th StWichita Falls, TX 76301-7100
Phone: (940) 851-9900
Fax: (940) 851-8089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA00159 (TX) |
|---|
Record details
| NPI number | 1770660136 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Smith — Owner · (940) 851-9900 |
| Other names | Family Health Clinic Of Texoma |
| NPI enumerated | November 1, 2006 |
| Last updated in NPPES | November 6, 2008 |
| Mailing address | 1411 13th St Ste 2, Wichita Falls, TX 76301-7100 |
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