MEDICARE: DANNY I HUTCHINS PA

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	01515	TX

General Provider Information

NPI Number	:	1558410126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANNY I HUTCHINS PA

Provider Business Mailing Address
First Line	:	204 E 1ST ST
Second Line	:
City	:	ALICE
State	:	TX
Zip	:	78332-4822
Country	:	US
Telephone Number	:	361-664-0145
Fax Number	:	361-668-3319

Provider Business Practice Location Address
First Line	:	415 S 6TH ST
Second Line	:
City	:	KINGSVILLE
State	:	TX
Zip	:	78363-5518
Country	:	US
Telephone Number	:	361-644-0145
Fax Number	:	361-668-3319

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

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	07/08/2007

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