Individual provider · Type 1 NPI

Beverly K. Iltis, PA

Physician Assistant · Longview, TX

NPI number 1326015074 Active

Practice location

805 Medical Dr
Longview, TX 75605-5130

Call (903) 757-6042 Map

Fax (903) 291-6138

Mailing address

PO Box 610393
Dallas, TX 75261-0393

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA02521 (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 1326015074

Beverly K. Iltis, PA's National Provider Identifier is 1326015074, issued on Mar 1, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Longview, TX. The record was last updated on Nov 11, 2021.