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Contact Information

MIKE MENZA, MMS PA-C
8300 N LAMAR BLVD STE 200A
AUSTIN, TX78753-5976
 Phone: 512-695-3833
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MIKE MENZA · (Male)

NPI Number 1801362173
Status Active
Credentials MMS PA-C
Entity Individual
Enumeration date 10/15/2018
Last updated 10/15/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9111687
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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