Tagashira, Paul
Tagashira, Paul is an individual health care provider with primary practice located at 1100 Wilford Hall Loop , Jbsa Lackland TX 78236-5638. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Tagashira, Paul can be contacted via phone (210) 292-4376.Contact Information
Primary practice address
1100 Wilford Hall Loop
Jbsa Lackland TX 78236-5638
Phone: (210) 292-4376
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 54382 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1439 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA13827 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1780985457 |
|---|---|
| LBN Legal business name | Tagashira, Paul |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2010 |
| Last updated | Sep 2nd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780985457 | NPPES |
| Nevada | MEDICAID | 1780985457 |
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