Individual provider · Type 1 NPI
Olivia Garrett Shumake, PAC
Surgical Physician Assistant · Houston, TX
NPI number
1609129535
Active
Practice location
6550 Fannin St, Suite 2600
Houston, TX 77030-2717
Mailing address
201 Moretti Cir, Apartment 381
Homewood, AL 35209-1974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1609129535
Olivia Garrett Shumake, PAC's National Provider Identifier is 1609129535, issued on Oct 16, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on May 4, 2017.