Hruska, Michelle L

Hruska, Michelle L is an individual health care provider with primary practice located at 200 Blossom St , Webster TX 77598-4204. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hruska, Michelle L can be contacted via phone (281) 865-7096.

Contact Information

Primary practice address
200 Blossom St Webster TX 77598-4204
Phone: (281) 865-7096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06106 Texas

Profile Details

NPI number 1689816688
LBN Legal business name Hruska, Michelle L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2009
Last updated Nov 16th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689816688 NPPES
Other 1689816688 TRICARE SOUTH
Other 8Y9916 TRICARE SOUTH
MEDICAID 203212001 TRICARE SOUTH
MEDICAID 203212004 TRICARE SOUTH
MEDICAID 203212002 TRICARE SOUTH

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