Individual provider · Type 1 NPI
Brooke Marie Stidham, PAC
Physician Assistant · Austin, TX
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
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | PA08059 (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.