Individual
AMAIRANY MADAI ESCAMILLA MEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
410 E PIONEER PKWY STE 300, GRAND PRAIRIE, TX 75051-4984
(469) 733-1890
Mailing address
7817 FAIRWEST CT, NORTH RICHLAND HILLS, TX 76182-7330
(817) 770-1288
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12075
TX
Other
Enumeration date
07/28/2018
Last updated
11/26/2019
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