Individual
JASON DAVID ASTRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2660
(817) 735-5441
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-2660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0001659
MD
363A00000X
Physician Assistant
Primary
PA05828
TX
363AM0700X
Medical Physician Assistant
C0001659
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202739303
—
TX
01
—
828N82
BCBS
TX
Enumeration date
06/19/2006
Last updated
10/18/2011
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