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1093156705
JASON MICHAEL DILLASHAW
FORT SAM HOUSTON, TX
NPI
1093156705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
207P00000X Emergency Medicine
(Licence: TX PA12246)
Enumeration Date
2013-07-10
Last Update Date
2019-12-05
Business Address
JASON MICHAEL DILLASHAW P.A. - C
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-4141
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Mailing Address
JASON MICHAEL DILLASHAW P.A. - C
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-4141
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