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Individual
MR. ROBERT LEONARD MONZINGO JR.
Active
Individual
MR. ROBERT LEONARD MONZINGO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00502
TX
363AM0700X
Medical Physician Assistant
PA00502
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283638901
—
TX
05
—
283638902
—
TX
Enumeration date
10/16/2006
Last updated
12/05/2011
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