Provider Demographics
NPI:1124743356
Name:MCBRIDE, JASON L II (MPAS, PA-C)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:L
Last Name:MCBRIDE
Suffix:II
Gender:M
Credentials:MPAS, PA-C
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Mailing Address - Street 1:1250 STATE ST APT 2110
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-2042
Mailing Address - Country:US
Mailing Address - Phone:615-804-3908
Mailing Address - Fax:
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2571
Practice Address - Country:US
Practice Address - Phone:972-566-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant