Individual
RONNIE DALE NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA07329
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283652001
—
TX
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
75-2616977-041
TRICARE
TX
01
—
752616977001
TRICARE
TX
01
—
752616977002
TRICARE
TX
01
—
851N93
BCBS
TX
Enumeration date
07/15/2011
Last updated
10/13/2014
Update your record
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