Individual provider · Type 1 NPI

Tricia Nicole Mewbourne, PA

Surgical Physician Assistant · Plano, TX

NPI number 1790889004 Active

Practice location

4708 Alliance Blvd, Suite 810
Plano, TX 75093-5340

Call (972) 985-2797 Map

Fax (972) 985-4797

Mailing address

8080 Independence Pkwy, Ste 230
Plano, TX 75025-4013

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X07016 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1790889004

Tricia Nicole Mewbourne, PA's National Provider Identifier is 1790889004, issued on Sep 8, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Plano, TX. The record was last updated on Jun 25, 2018.