East Texas Physician Assistant Services

NPI #1407273428 in Tyler, Texas

Provider Information

NPI Number: 1407273428
Entity Type: Organization
Organization Name: East Texas Physician Assistant Services
Primary Specialty: Physician Assistant
Enumeration Date: Mar 27, 2014
Last Updated: Mar 27, 2014

Practice Location

Address: 5380 OLD BULLARD RD STE 600-125
City: Tyler
State: Texas
ZIP Code: 75703-3607
Phone: (903) 504-5353

Authorized Official

Name: MR. JASON DAVID LAYNE, PA-C
Title: PHYSICIAN ASSISTANT
Phone: (903) 504-5353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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