Individual provider · Type 1 NPI

Paul Tagashira, PA-C

Medical Physician Assistant · Jbsa Lackland, TX

NPI number 1780985457 Active

Practice location

1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638

Call (210) 292-4376 Map

Other practice locations

  • 390 N Pacific Coast Hwy, El Segundo, CA 90245-4475 · (310) 640-9911

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X54382 (CA)
Physician Assistant 363A00000XPA1439 (NV)
Medical Physician Assistant 363AM0700XPA13827 (TX)
Medical Physician Assistant 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1780985457

Paul Tagashira, PA-C's National Provider Identifier is 1780985457, issued on Nov 10, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Sep 2, 2021.