Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THOMAS WAYNE DISTEL, PA
Active Sole ProprietorMR. THOMAS WAYNE DISTEL, PA is a Physician Assistant healthcare provider located in HENRIETTA, Texas. NPI 1932184926 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HENRIETTA, TX
Registration Details
- NPI Number
- 1932184926
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2005 (20.66590558194 yrs)
- Last Updated
- Jul 6, 2010
- License
-
PA01207 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
102 S ARCHER STHENRIETTA, TX, 763652746Browse TX providers · Browse ZIP 76365
- Phone
- 9405384336
- Fax
- 9405386271
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in HENRIETTA, TX
| Name | Credential | NPI |
|---|---|---|
| TIFFANY KAY WILSON | P.A. | 1710920178 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.