Individual
MRS. DONNA LYNN BAILEY
Active
Individual
MRS. DONNA LYNN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA03622
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012551
NCCPA CERTIFICATE #
TX
01
—
PA03622
TX MEDICAL BOARD LICENSE
TX
01
—
PA7010
BCBS PROVIDER #
TX
Enumeration date
10/02/2006
Last updated
07/08/2007
Update your record
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