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NPI Code Detail

MEDICARE: ALICIA NASH PA

MEDICARE: ALICIA NASH 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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1578718102
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA NASH PA
Provider Business Mailing Address
First Line : 2 GREENWAY PLZ
Second Line : SUITE 900
City : HOUSTON
State : TX
Zip : 77046-0297
Country : US
Telephone Number : 713-798-1835
Fax Number :
Provider Business Practice Location Address
First Line : 850 CENTRAL PKWY E STE 275
Second Line :
City : PLANO
State : TX
Zip : 75074-5542
Country : US
Telephone Number : 972-372-1667
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2008
Last Update Date : 10/22/2015

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Directions to “ ALICIA NASH PA” Practice Location

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