Organization
PHYSICIAN ASSISTANT SERVICES OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONNIE J GINN PA (OWNER)
(972) 280-0080
Entity
Organization
Contact information
Practice address
609 MEDICAL CENTER DR, DECATUR, TX 76234-3836
(972) 280-0080
(972) 280-0081
Mailing address
2925 LBJ FWY, #100, DALLAS, TX 75234-7612
(972) 280-0080
(972) 280-0081
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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