Individual
RONNIE DALE NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
20208 STATE HIGHWAY 155 S, FLINT, TX 75762-5600
(903) 825-6222
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
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
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