Individual
JOHN P HITCHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
202 JAMES STREET, BRACKETTVILLE, TX 78832-0729
(830) 563-2434
(855) 729-6740
Mailing address
PO BOX 729, BRACKETTVILLE, TX 78832
(830) 563-2434
(855) 729-6740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031098
NATIONAL COMMISSION CERTIFICATION PHY.ASSISTANTS
TX
05
—
3448771-03
—
TX
Enumeration date
11/08/2006
Last updated
11/16/2023
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