John Edward Short, PA-C
Physician Assistant in El Paso, TX. Individual provider (NPI-1).
NPI number1700935277
StatusActive
Last updated in NPPESFeb 16, 2012
Details
- NPI
- 1700935277
- Entity type
- Individual (NPI-1)
- Name
- John Edward Short
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2007
- Last updated
- Feb 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA03258 | TX | Yes |
Practice location
10400 Vista Del Sol Dr Ste 204El Paso, TX 79925-7924
Phone 915-598-1005
Mailing address
544 Pinar Del Rio DrEl Paso, TX 79932-1912
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