Individual provider · Type 1 NPI

Mackenzie Cole Intlehouse, PA-C

Surgical Physician Assistant · Tyler, TX

NPI number 1881100808 Active

Practice location

700 Olympic Plaza Cir Ste 600
Tyler, TX 75701-1954

Specialties and licenses

Taxonomy	Code	License
Surgical Physician Assistant Primary	363AS0400X	PA11528 (TX)

Surgical Physician Assistant: Definition to come...

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David Robert Dewalch, PA-CPhysician Assistant Tyler, TX NPI 1003098807
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Margaret Jan Smith, RN, MSN, FNP-CAdult Health Nurse Practitioner Tyler, TX NPI 1669644191

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About NPI 1881100808

Mackenzie Cole Intlehouse, PA-C's National Provider Identifier is 1881100808, issued on Dec 28, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tyler, TX. The record was last updated on Apr 4, 2024.