Provider Demographics
NPI:1174564447
Name:DROBNICA, JOHN PAUL (PA-C)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:PAUL
Last Name:DROBNICA
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:706 W BEN WHITE BLVD
Mailing Address - Street 2:BLDG A
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-7034
Mailing Address - Country:US
Mailing Address - Phone:512-442-1996
Mailing Address - Fax:512-441-1093
Practice Address - Street 1:706 W BEN WHITE BLVD
Practice Address - Street 2:BLDG A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-7034
Practice Address - Country:US
Practice Address - Phone:512-442-1996
Practice Address - Fax:512-441-1093
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA00058363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
473073YLPSOtherWELLMED MEDICAL GROUP PTAN
473073YLPSOtherWELLMED MEDICAL GROUP PTAN