Provider Demographics
NPI:1700461803
Name:HOELTING, ASHLEY MORGAN (PA-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MORGAN
Last Name:HOELTING
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 1:19421 S LANTANA RD
Mailing Address - Street 2:
Mailing Address - City:BUSHLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79124-1567
Mailing Address - Country:US
Mailing Address - Phone:432-269-2156
Mailing Address - Fax:
Practice Address - Street 1:801 E 3RD ST
Practice Address - Street 2:
Practice Address - City:HEREFORD
Practice Address - State:TX
Practice Address - Zip Code:79045-5727
Practice Address - Country:US
Practice Address - Phone:806-349-9210
Practice Address - Fax:806-349-9387
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA14260363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant