Dori Lyn Wasmundt PAC

NPI 1033119169 - Physician Assistant - 363A00000X

NPI Details
NPI 1033119169
Gender Female
Enumeration Date 07/29/2005
Last Updated 05/24/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
125 W PARK AVE
HEREFORD TX, 79045-4201, US
Phone (806) 364-7688
Fax (806) 364-7694
Business Location
2801 W 8TH ST
PLAINVIEW TX, 79072-6737, US
Phone (806) 293-8561
Fax (806) 293-8413
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA03407
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According to our database, Dori Lyn Wasmundt PAC NPI is 1033119169, taxonomy code is 363A00000X and license number is PA03407, license state is located at Texas. Dori Lyn Wasmundt PAC physically located at 125 W Park Ave, Hereford TX, 79045-4201. NPI Number Dori Lyn Wasmundt PAC has the Individual type.

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1033119169 NPI number is provided on an as is basis without warranty of any kind. 1033119169 is maintained by the National Plan & Provider Enumeration System. The contents of Dori Lyn Wasmundt PAC are for informational purposes only.