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Taeja Broadwater is one of 14 physician assistants practicing in Atascocita, Texas .
Taeja Broadwater practices with Carbon Health Medical Group Of Florida PA.
Registry record (NPPES)
NPI
1114152329
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant, Surgical · 363AS0400X
Address on file
Geisinger Medical Ctr Danville, PA 17822-0001 (570) 271-5555
Enumerated
May 18, 2009
Record last updated
Sep 27, 2013
License states listed
MD, PA
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
17903 W Lake Houston Pkwy Suite 101
Atascocita , TX 77346
(215) 570-6856
9722 Great Hills Trl Suite 375
Austin , TX 78759
(512) 910-3932
More physician assistants in Atascocita
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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