Individual
MARCUS JOHN WAUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
510 N HEWITT DR, HEWITT, TX 76643-3038
(254) 420-5000
(254) 420-5007
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
TX
363AM0700X
Medical Physician Assistant
Primary
PA05661
TX
Other
Enumeration date
02/15/2008
Last updated
06/14/2017
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