Roy A Malphurs PA

NPI 1699785592 - Physician Assistant - 363A00000X

NPI Details
NPI 1699785592
Gender Male
Enumeration Date 08/09/2006
Last Updated 11/05/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1007 W GENTRY PARKWAY
TYLER TX, 75072, US
Phone (903) 526-8595
Fax (903) 526-8592
Business Location
1401 W JEFFERSON BLVD
DALLAS TX, 75208-5326, US
Phone (214) 941-9200
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA00279
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According to our database, Roy A Malphurs PA NPI is 1699785592, taxonomy code is 363A00000X and license number is PA00279, license state is located at Texas. Roy A Malphurs PA physically located at 1007 W Gentry Parkway, Tyler TX, 75072. NPI Number Roy A Malphurs PA has the Individual type.

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1699785592 NPI number is provided on an as is basis without warranty of any kind. 1699785592 is maintained by the National Plan & Provider Enumeration System. The contents of Roy A Malphurs PA are for informational purposes only.