Individual provider · Type 1 NPI
Jan Birdwell-White, PA-C
Medical Physician Assistant · Flower Mound, TX
NPI number
1891149753
Active
Practice location
1534 Latigo Ln
Flower Mound, TX 75022-6589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA09273 (TX) |
| Surgical Physician Assistant | 363AS0400X | PA09273 (TX) |
Medical Physician Assistant: Definition to come...
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About NPI 1891149753
Jan Birdwell-White, PA-C's National Provider Identifier is 1891149753, issued on Apr 18, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Flower Mound, TX. The record was last updated on Apr 18, 2016.