Depeche Assisting, Pc

NPI 1174917405 - Physician Assistant - 363AS0400X

NPI Details
NPI 1174917405
Enumeration Date 03/25/2015
Last Updated 03/25/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name FRED J FRED
Position REGISTERED AGENT
Phone (281) 324-5660
Fax (281) 324-5679
Practice Location
18302 NOYCE RD
CROSBY TX, 77532-7807, US
Phone (281) 324-5660
Fax (281) 324-5679
Business Location
PO BOX 1288
CROSBY TX, 77532-1288, US
Phone (281) 324-5660
Fax (281) 324-5679
Toxanomy
Taxonomy Code 363AS0400X
License State
License Number
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According to our database, Depeche Assisting, Pc NPI is 1174917405, taxonomy code is 363AS0400X Depeche Assisting, Pc physically located at 18302 Noyce Rd, Crosby TX, 77532-7807. NPI Number 1033115704 has the healthcare provider type.

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1174917405 NPI number is provided on an as is basis without warranty of any kind. 1174917405 is maintained by the National Plan & Provider Enumeration System. The contents of Depeche Assisting, Pc are for informational purposes only.