Redraiders Assistants, Pllc

NPI #1669061172 in Longview, Texas

Provider Information

NPI Number
1669061172
Entity Type
Organization
Organization Name
Redraiders Assistants, Pllc
Primary Specialty
Physician Assistant - Surgical
Enumeration Date
Jan 11, 2021
Last Updated
Jan 25, 2021

Practice Location

Address
2901 4TH ST
State
Texas
ZIP Code
75605-5128
Phone
(817) 756-8236

Authorized Official

Name
REKHA WAGLE
Title
NPI ADMINISTRATOR
Phone
(817) 756-8232

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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