Provider Demographics
NPI:1740379239
Name:KESSLER, MONICA RAE (PAC)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:RAE
Last Name:KESSLER
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 E MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-4773
Mailing Address - Country:US
Mailing Address - Phone:830-773-3331
Mailing Address - Fax:830-773-2981
Practice Address - Street 1:590 E MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-4773
Practice Address - Country:US
Practice Address - Phone:830-773-3331
Practice Address - Fax:830-773-2981
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA04865363A00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1W7230OtherPTAN