Ivy Q Bishop, PA-C

NPI #1427459239 in Lake Jackson, Texas

Provider Information

NPI Number: 1427459239
Entity Type: Individual
Name: Ivy Q Bishop, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 11, 2014
Last Updated: Sep 24, 2024

Practice Location

Address: 100 MEDICAL DR
City: Lake Jackson
State: Texas
ZIP Code: 77566-5674
Phone: (979) 297-4411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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