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) 280-0080
Entity
Organization
Contact information
Practice address
6901 MEDICAL PKWY, WACO, TX 76712-7910
(254) 751-4000
Mailing address
PO BOX 93175, SOUTHLAKE, TX 76092-1175
(972) 280-0080
(972) 280-0081
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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