Jesse A. Boutwell, PHYSICIAN ASSISTANT
Physician Assistant · Bandera, TX
UnclaimedPHYSICIAN ASSISTANTNPI 1912977117
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2006-01-23
- Practice location
- Bandera, TX
- Last NPPES update
- 2016-10-17
State licenses
- TX · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.