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NPI Code Detail

MEDICARE: DAN R PERSON PA

MEDICARE: DAN R PERSON 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 AssistantPA02133TX

General Provider Information

NPI Number : 1942234521
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAN R PERSON PA
Provider Business Mailing Address
First Line : 800 5TH AVE STE 500
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-7304
Country : US
Telephone Number : 817-878-5300
Fax Number : 817-878-5321
Provider Business Practice Location Address
First Line : 800 5TH AVE STE 500
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-7304
Country : US
Telephone Number : 817-878-5300
Fax Number : 817-878-5321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 11/14/2013

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Directions to “ DAN R PERSON PA” Practice Location

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