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Individual

ADAM K. PUSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03497
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8N9118
BLUE SHIELD
TX
01
P00269382
RR/MEDICARE
TX
Enumeration date
04/05/2006
Last updated
01/05/2021
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