Individual provider · Type 1 NPI
Gail Tyria Houston, PA-C
Medical Physician Assistant · Fort Leavenworth, KS
NPI number
1316929888
Active
Practice location
210 Grant Ave, Room 1809
Fort Leavenworth, KS 66027-1231
Mailing address
2412 Mountain Rd
Joppa, MD 21085-2338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | C100031 (MD) |
Medical Physician Assistant: Definition to come...
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About NPI 1316929888
Gail Tyria Houston, PA-C's National Provider Identifier is 1316929888, issued on Nov 18, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Leavenworth, KS. The record was last updated on Jul 8, 2007.