Individual provider · Type 1 NPI

Brooke Marie Stidham, PAC

Physician Assistant · Austin, TX

NPI number 1134450497 Active

Practice location

11623 Angus Rd, Suite 25
Austin, TX 78759-4003

Mailing address

11671 Jollyville Rd, Ste 104
Austin, TX 78759-4141

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA08059 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1134450497

Brooke Marie Stidham, PAC's National Provider Identifier is 1134450497, issued on Jan 26, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Austin, TX. The record was last updated on Mar 20, 2017.