Kimberly Amezquita, PA
Physician Assistant, Surgical in Rockwall, TX. Individual provider (NPI-1).
NPI number1285270462
StatusActive
Last updated in NPPESMay 6, 2020
Details
- NPI
- 1285270462
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Amezquita
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2019
- Certification date
- May 6, 2020
- Last updated
- May 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA13086 | TX | Yes |
Practice location
3136 Horizon Rd Ste 100Rockwall, TX 75032-7808
Phone 214-227-2457 · Fax 214-764-0880
Mailing address
3136 Horizon Rd Ste 100Rockwall, TX 75032-7808
Phone 214-227-2457 · Fax 214-764-0880
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