Individual
MRS. MICHELLE ANN ASHCRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1935 MEDICAL DISTRICT DRIV, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
1935 MEDICAL DISTRICT DRIVE, DALLAS, TX 75235-7701
(214) 456-7000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02254
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA02254
STATE LICENSE
TX
Enumeration date
01/16/2007
Last updated
07/12/2012
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