Junior Edmond, PA-C Valid NPI

Individual provider · Physician Assistant · Sugar Land, TX

NPI

1669018701

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA16018 (TX)

Sex

Male

Sole proprietor

Yes

Enumerated

2019-11-25

Last updated

2024-12-03