Provider Demographics
NPI:1275574584
Name:WASSON, DEBBIE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:
Last Name:WASSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5496
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79608-5496
Mailing Address - Country:US
Mailing Address - Phone:325-692-3777
Mailing Address - Fax:325-695-2659
Practice Address - Street 1:6300 REGIONAL PLZ
Practice Address - Street 2:SUITE 820
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5251
Practice Address - Country:US
Practice Address - Phone:325-692-3777
Practice Address - Fax:325-695-2659
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA01112363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D0339Medicare PIN