ALESHIA MUTAI


Address: 5800 E Lovers Ln, Dallas, TX 75206-2901
Phone: 9728176260

ALESHIA MUTAI (NPI# 1275907776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275907776
Entity Type Individual
Full Name ALESHIA MUTAI
Credential P.A.
Practice Address 5800 E Lovers Ln
Dallas
TX 75206-2901
Practice Telephone 9728176260
Practice Fax Number 9728176270
Mailing Telephone 9728176260
Mailing Fax Number 9728176270
Enumeration Date 2015-11-20
Last Update Date 2019-04-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA10158 TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
8668 Skillman St, Dallas, TX 752438216 2143494909 2143494973

Office Location

Street Address 5800 E LOVERS LN
City DALLAS
State TX
Zip Code 75206-2901

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1558863555 Kyra Nicole Logan Physician Assistant 221 W Colorado Blvd Pav II Ste. 425, Dallas, TX 75208-7520 2018-03-06
1386169175 Lauren Moore Physician Assistant 5201 Harry Hines Blvd Fl Htower1, Dallas, TX 75235-7708 2017-08-14
1811427594 Jena Benik Physician Assistant 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 2017-06-15
1881123909 One Healthcare LLC Physician Assistant 1722 Routh St Ste 900, Dallas, TX 75201-2588 2017-06-12
1972037307 Morrison Medical Physician Assistant 17746 Preston Rd Ste 100, Dallas, TX 75252-5736 2017-04-12
1205297652 Keri Miller Physician Assistant 9780 Lbj Fwy Ste 124, Dallas, TX 75243-6847 2016-03-14
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1699174599 John Michael Cline Physician Assistant 5201 Harry Hines Boulevard, Psychiatric Emergency Room, Dallas, TX 75235 2014-08-15
1821439001 Divya Thomas Physician Assistant 610 E Jefferson Blvd Suite 100, Dallas, TX 75094 2013-07-16
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Competitor

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City DALLAS
Zip Code 75206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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