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Organization
DYNAMIC RPA HEALTHCARE PC
Active
Organization
DYNAMIC RPA HEALTHCARE PC
Active
Other names
DYNAMIC RPA PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER A INEAMA PA (PROVIDER)
(817) 294-9600
Entity
Organization
Contact information
Practice address
6901 MCCART AVE, 200, FORT WORTH, TX 76133-6377
(817) 294-9600
(817) 294-9611
Mailing address
6901 MCCART AVE, 200, FORT WORTH, TX 76133-6377
(817) 294-9600
(817) 294-9611
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
D6175
TX
208800000X
Urology Physician
D6175
TX
208D00000X
General Practice Physician
Primary
D6175
TX
363A00000X
Physician Assistant
PA05609
TX
363AM0700X
Medical Physician Assistant
PA05609
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063601300
NPI
TX
01
—
PA05609
PA LICENSE
TX
Enumeration date
09/01/2009
Last updated
03/11/2013
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