MEDICARE: JAMES G CUTA PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA07843	TX

General Provider Information

NPI Number	:	1306144936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES G CUTA PA-C

Provider Business Mailing Address
First Line	:	2214 CANTERBURY DR
Second Line	:	STE 308
City	:	HAYS
State	:	KS
Zip	:	67601-2375
Country	:	US
Telephone Number	:	785-628-6014
Fax Number	:	785-628-6094

Provider Business Practice Location Address
First Line	:	581 PAN AMERICAN DR
Second Line	:	SUITE 8
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1960
Country	:	US
Telephone Number	:	254-213-4322
Fax Number	:	254-213-4337

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2011
Last Update Date	:	09/12/2017

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