MR. Thomas Wayne Distel, PA

NPI #1932184926 in Henrietta, Texas

Provider Information

NPI Number: 1932184926
Entity Type: Individual
Name: MR. Thomas Wayne Distel, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 13, 2005
Last Updated: Jul 6, 2010

Practice Location

Address: 102 S ARCHER ST
City: Henrietta
State: Texas
ZIP Code: 76365-2746
Phone: (940) 538-4336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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