MEDICARE: JOHN PAUL ABSHIER 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	363AM0700X	Medical Physician Assistant	TX 02-102	TX

General Provider Information

NPI Number	:	1609847557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN PAUL ABSHIER PA

Provider Business Mailing Address
First Line	:	29910 FM 3009
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78132-2637
Country	:	US
Telephone Number	:	830-885-5042
Fax Number	:

Provider Business Practice Location Address
First Line	:	BAMC 3851ROGER BROOKE DR.MCHE-QD (CRED)
Second Line	:
City	:	FT SAM HOUSTON
State	:	TX
Zip	:	78234-6200
Country	:	US
Telephone Number	:	210-916-5000
Fax Number	:

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

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	07/08/2007

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