Individual
LINA ANCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
405 LONDONDERRY DR STE 310, WACO, TX 76712-7922
(254) 537-6530
Mailing address
405 LONDONDERRY DR STE 310, WACO, TX 76712-7922
(254) 537-6530
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11031
TX
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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