Individual
MR. JOHN MAKINDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DHSC, PAC
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA06021
LICENSE
TX
Enumeration date
08/30/2006
Last updated
01/14/2010
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