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Individual
NATHANIEL GRAHAM NORTHRUP
Active
Individual
NATHANIEL GRAHAM NORTHRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19464
TX
Other
Enumeration date
09/19/2016
Last updated
01/20/2026
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