Organization
PHYSICIAN ASSISTANT SERVICES OF TEXAS L.L.P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONNIE JAMES GINN PA-C (OWNER)
(972) 599-0080
Entity
Organization
Contact information
Practice address
900 8TH AVE, FORT WORTH, TX 76104-3902
(972) 599-0080
(972) 599-0082
Mailing address
PO BOX 93175, SOUTHLAKE, TX 76092-1175
(972) 280-0080
(972) 280-0081
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
06/06/2014
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