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Organization
EAST TEXAS PHYSICIAN ASSISTANT SERVICES
Active
Organization
EAST TEXAS PHYSICIAN ASSISTANT SERVICES
Active
Other names
ETPAS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON DAVID LAYNE PA-C (PHYSICIAN ASSISTANT)
(903) 504-5353
Entity
Organization
Contact information
Practice address
5380 OLD BULLARD RD STE 600-125, TYLER, TX 75703-3607
(903) 504-5353
Mailing address
5380 OLD BULLARD RD STE 600-125, TYLER, TX 75703-3607
(903) 504-5353
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04135
TX
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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