=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801883541
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MICHELE A CASH PA C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/27/2005
-----------------------------------------------------
Last Update Date | 10/07/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 707 W SESAME DR
-----------------------------------------------------
City | HARLINGEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78550-9289
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-423-8042
-----------------------------------------------------
Fax | 956-423-2907
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5505 S EXPRESSWAY 77 STE 303
-----------------------------------------------------
City | HARLINGEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78550-3222
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-428-7500
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363AM0700X
-----------------------------------------------------
Taxonomy Name | Medical Physician Assistant
-----------------------------------------------------
License Number | PA03363
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------