Organization
EAST TEXAS PHYSICIAN ASSISTANT SERVICES
Active
Other names
ETPAS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON DAVID LAYNE PA-C (PHYSICIAN ASSISTANT)
(903) 504-5353
Entity
Organization
Contact information
Practice address
5380 OLD BULLARD RD STE 600-125, TYLER, TX 75703-3607
(903) 504-5353
Mailing address
5380 OLD BULLARD RD STE 600-125, TYLER, TX 75703-3607
(903) 504-5353
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04135
TX
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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