Provider Demographics
NPI:1629407283
Name:TON, CAMDI (PA-C)
Entity Type:Individual
Prefix:
First Name:CAMDI
Middle Name:
Last Name:TON
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:SCOTT
Other - Middle Name:
Other - Last Name:TON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 674077
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-4077
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8251 BEDFORD EULESS RD
Practice Address - Street 2:STE 210
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-7200
Practice Address - Country:US
Practice Address - Phone:817-656-7827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX344373Y0QMedicare PIN