Individual
MS. ASHTON BROOKE WANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3900 JUNIUS ST, SUITE 500, DALLAS, TX 75246-1615
(469) 800-7200
Mailing address
1811 MEDICAL PKWY, APT 711, SAN MARCOS, TX 78666-7521
(405) 694-5100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA07784
TX
Other
Enumeration date
04/16/2012
Last updated
03/20/2017
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