Individual
MISS AUTUMN TYE MAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12568 BROADWAY ST STE 160, PEARLAND, TX 77584-8969
(832) 619-1669
Mailing address
12568 BROADWAY ST STE 160, PEARLAND, TX 77584-8969
(832) 619-1669
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
10/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us