Individual
CHAD PACANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3801 E HWY 377, SUITE 100, GRANBURY, TX 76048
(817) 573-1380
(817) 573-1381
Mailing address
1308 PALUXY RD, GRANBURY, TX 76048-5689
(817) 408-3197
(817) 579-3926
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08968
TX
Other
Enumeration date
03/19/2014
Last updated
10/27/2021
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