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NPI Code Detail

MEDICARE: MS. HEATHER S CAIN PA-C

MEDICARE: MS. HEATHER S CAIN 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
1363A00000XPhysician AssistantPA10872TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689645848
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEATHER S CAIN PA-C
Provider Business Mailing Address
First Line : 21100 ISLE OF GLASS ST
Second Line :
City : PFLUGERVILLE
State : TX
Zip : 78660-4081
Country : US
Telephone Number : 262-344-3481
Fax Number : --
Provider Business Practice Location Address
First Line : 1855 GATTIS SCHOOL RD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-7428
Country : US
Telephone Number : 512-238-6268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 05/19/2020

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