Individual provider · Type 1 NPI
Idris Shoaga, PA-C
Medical Physician Assistant · Manvel, TX
NPI number
1255739157
Active
Practice location
1875 County Road 101, Suite 170
Manvel, TX 77578
Fax (281) 692-9771
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA09503 (TX) |
Medical Physician Assistant: Definition to come...
About NPI 1255739157
Idris Shoaga, PA-C's National Provider Identifier is 1255739157, issued on Dec 9, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Manvel, TX. The record was last updated on Apr 10, 2020.