Mr Thomas Wayne Distel, PA is a
Physician Assistant based in Henrietta, Texas. Mr Thomas Wayne Distel is licensed to practice in Texas (license number PA01207) and his current practice location is
102 S Archer St, Henrietta, Texas. He can be reached at his office (for appointments etc.) via phone at
(940) 538-4336.
NPI number for Mr Thomas Wayne Distel is 1932184926 and his current mailing address is Po Box 360, 102 South Archer, Henrietta, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932184926.
Provider's Profile
| Full Name | Mr Thomas Wayne Distel |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
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| Location | 102 S Archer St, Henrietta, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932184926
- Provider Enumeration Date: 12/13/2005
- Last Update Date: 07/06/2010
Medical Identifiers
Medical identifiers for Mr Thomas Wayne Distel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932184926 | NPI | - | NPPES |
| PA01207 | Other | TX | ST PA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA01207 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Thomas Wayne Distel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Thomas Wayne Distel, PA
Po Box 360, 102 South Archer,
Henrietta, TX 76365-0360
Ph: (940) 538-4336 | Mr Thomas Wayne Distel, PA
102 S Archer St,
Henrietta, TX 76365-2746
Ph: (940) 538-4336 |
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