Autumn Semmelmann, PAC
Individual provider Active NPI Physician Assistant · Hereford, TX
NPI 1932298403 · NPPES record last updated Aug 23, 2011
Key facts
- NPI
- 1932298403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA03488 (TX)
- Practice address
- 125 W Park Ave
Hereford, TX 79045-4201 - Phone
- (806) 364-7688
- Fax
- (806) 364-7694
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA03488 | TX | Yes |
Addresses
Primary practice location
125 W Park Ave
Hereford, TX 79045-4201
Mailing address
125 W Park Ave
Hereford, TX 79045-4201
Phone (806) 364-7688
Other providers in Hereford, TX
- Trevor Rohm
- Genie Salcido
- Rita San Miguel
- Patsy Sanchez
- Laura Ann Schenk
- Smile Accents PLLC
- Smile Accents-Hereford PLLC
- Amy Stovall
- Strategic Care of Hereford, LLC.
- Synergy Medical Care
All providers in Hereford, TX · Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.