Individual
MR. JASON BLAKELY HENSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4865 N. MCCOLL RD., MCALLEN, TX 78504
(956) 661-8200
(956) 661-8205
Mailing address
P.O. BOX 600, EDINBURG, TX 78540-0600
(956) 661-8200
(956) 661-8205
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03094
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00772T
MEDICARE GRP#
TX
01
—
PA03094
LISCENSE NUMBER
TX
Enumeration date
06/13/2005
Last updated
02/21/2020
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