Individual
ATHANASE KAWOU TUWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2855 PRESTON RD, FRISCO, TX 75034-9438
(469) 495-9118
Mailing address
2855 PRESTON RD, FRISCO, TX 75034-9438
(469) 495-9118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004974
VA
363A00000X
Physician Assistant
Primary
PA10102
TX
Other
Enumeration date
06/17/2015
Last updated
07/11/2024
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