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General NPI Number Information
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NPI Number | 1245235977
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Entity Type | Organization
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Legal Business Name | PHYSICIANS HEALTHCARE ASSOCIATES, P.A.
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 09/21/2012
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Provider Practice Location Address
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Address Line | 2260 TRAWOOD DR
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City | EL PASO
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State | TX
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Zip | 79935-3040
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Country | US
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Telephone | 915-591-4436
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Fax | 915-591-4531
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Provider Business Mailing Address
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Address Line | 7430 REMCON CIR BLDG B-110
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City | EL PASO
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State | TX
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Zip | 79912-3514
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Country | US
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Telephone | 915-544-2455
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Fax | 915-544-3149
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VERNOY ANTHONY WALKER
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Credential | M.D.
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Telephone | 915-584-0051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | H1422
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | H1422
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | H1422
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | H1422
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H1422
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License Number State | TX
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