Organization · Type 2 NPI

Lifetime Health Center

Physician Assistant · Tyler, TX

NPI number 1629489042 Active

Practice location

1420 Wsw Loop 323, Suite 100
Tyler, TX 75701-9347

Fax (903) 534-0880

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA01101 (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 1629489042

Lifetime Health Center's National Provider Identifier is 1629489042, issued on May 20, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tyler, TX. The record was last updated on May 20, 2014.