Individual provider · Type 1 NPI

Shanequa Hambrick, PA

Medical Physician Assistant · Tyler, TX

NPI number 1760475180 Active

Practice location

2737 S Broadway Ave
Tyler, TX 75701

Fax (903) 592-3224

Mailing address

PO Box 6605
Tyler, TX 75711-6605

Other practice locations

  • 1814 Roseland Blvd, Tyler, TX 75701-4234 · (903) 531-2500

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA03583 (TX)

Medical Physician Assistant: Definition to come...

21 other providers at this address

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About NPI 1760475180

Shanequa Hambrick, PA's National Provider Identifier is 1760475180, issued on Aug 31, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tyler, TX. The record was last updated on Feb 18, 2019.