Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maria Logotaeao Dubose, PA

Individual provider Medical Physician Assistant · NPI 1235527912

Maria Logotaeao Dubose, PA is a Physician Assistant in Henderson, Nevada. Qualified in 2014, 12 years ago. Practices with Memorial Hermann Hospital Based Physician Group, a 269-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
12
Licensed in
NV
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2380 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89052-5078
Phone: (702) 823-4255
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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 PA1585 (NV)

Record details

NPI number1235527912
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 2, 2015
Last updated in NPPESJanuary 2, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Memorial Hermann Hospital Based Physician Group — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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