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Organization

ATASCOSA PHYSICIAN SERVICES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL A PAWLOWSKI M.D. (PRESIDENT)
(800) 893-9698
Entity
Organization

Contact information

Practice address
1905 HIGHWAY 97 E, JOURDANTON, TX 78026-1504
(800) 893-9698
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
TX
363A00000X
Physician Assistant
TX
363L00000X
Nurse Practitioner
TX

Other

Enumeration date
10/26/2015
Last updated
10/26/2015
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