Provider Demographics
NPI:1225304793
Name:FLOOD, ADA VANESSA (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:ADA
Middle Name:VANESSA
Last Name:FLOOD
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:5656 BEE CAVE RD
Mailing Address - Street 2:J-202
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5280
Mailing Address - Country:US
Mailing Address - Phone:512-467-7770
Mailing Address - Fax:512-685-5115
Practice Address - Street 1:5656 BEE CAVE RD
Practice Address - Street 2:J-202
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5280
Practice Address - Country:US
Practice Address - Phone:512-467-7770
Practice Address - Fax:512-685-5115
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2014-04-21
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Provider Licenses
StateLicense IDTaxonomies
TXPA07744363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant