person
Tricia Nicole Mewbourne, PA
Surgical Physician Assistant in Plano, Texas
NPI 1790889004

Tricia Nicole Mewbourne is a Surgical Physician Assistant based in Plano, TX and is specialized in Surgical. Tricia Nicole Mewbourne practices in Plano, TX and has the professional credentials of PA. The NPI Number for Tricia Nicole Mewbourne is 1790889004 and holds a License No. 07016 (Texas).

The current practice location address for Tricia Nicole Mewbourne is 4708 Alliance Blvd, Plano, TX and can be reached out via phone at 972-985-2797 and via fax at 972-985-4797. You can also correspond with Tricia Nicole Mewbourne through the mailing address at 8080 INDEPENDENCE PKWY, PLANO, TX - 75025-4013 (mailing address contact number: 972-985-2797).

Location: 4708 Alliance Blvd, Plano, TX, 75025-4013
person
Provider Profile Details
NPI Number
1790889004
Provider Name
Tricia Nicole Mewbourne
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4708 Alliance Blvd, Plano, TX, 75025-4013
Phone Number
972-985-2797
Fax Number
972-985-4797
Provider Enumeration Date
09/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51004134 01 AL BLUE CROSS BLUE SHIELD
009939411 05 AL
institution
Provider Business Practice Location Address Details
Address
4708 Alliance Blvd
City
State
Zip
75093-5340
Phone Number
972-985-2797
Fax Number
972-985-4797
person
Provider Business Mailing Address Details
Address
4708 Alliance Blvd
City
State
Zip
75093-5340
Phone Number
972-985-2797
Fax Number
972-985-4797
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
07016 (Texas)
Definition
Definition to come...
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