Individual
BELINDA W DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01804TX
TX
363AM0700X
Medical Physician Assistant
Primary
PA01804TX
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA01804
LICENSE
TX
Enumeration date
08/31/2006
Last updated
04/15/2016
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