Individual provider · NPI-1

Shawn Michael Adams, Physician Assistant

Family Medicine · El Paso, TX

NPI number1760137244
StatusActive
Last updated in NPPESFeb 14, 2022

Details

NPI
1760137244
Entity type
Individual (NPI-1)
Name
Shawn Michael Adams
Credential
Physician Assistant
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 14, 2022
Certification date
Feb 14, 2022
Last updated
Feb 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicinePA15348TXYes

Practice location

6400 Dyer St
El Paso, TX 79904-5639

Phone 269-861-6025

Mailing address

6400 Dyer St
El Paso, TX 79904-5639

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