Individual
MS. DANA ELAINE MAXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2901 4TH ST, LONGVIEW, TX 75605-5128
(903) 757-6042
(903) 232-8187
Mailing address
PO BOX 610393, DALLAS, TX 75261-0393
(903) 291-6187
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05610
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211973705
—
TX
Enumeration date
03/14/2008
Last updated
09/24/2019
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