Pai Participant 9 PA

NPI #1679135420 in Elgin, Texas

Provider Information

NPI Number
1679135420
Entity Type
Organization
Organization Name
Pai Participant 9 PA
Primary Specialty
Internal Medicine - Geriatric Medicine
Enumeration Date
Jul 2, 2019
Last Updated
Aug 2, 2025

Practice Location

Address
1373 N AVENUE C
City
Elgin
State
Texas
ZIP Code
78621-1528
Phone
(512) 285-2457

Authorized Official

Name
JILL FORD
Title
DIRECTOR OF CREDENTIALING
Phone
(859) 291-4800

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Geriatric MedicineGeriatric Medicine

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