Individual provider · Type 1 NPI

Jimmy Dee Stanley, PA-C

Medical Physician Assistant · San Antonio, TX

NPI number 1144402264 Active

Practice location

1100 Wilford Hall Loop
San Antonio, TX 78236-5638

Other practice locations

  • 6900 Alden Dr, Fe Warren Afb, WY 82005-2945 · (307) 773-3525
  • 2864 Woodruff Street, Bldg 2-1959, Fort Bragg, NC 28390 · (910) 570-3393
  • Unit 2060, Apo, AP 96278-2060 · (505) 784-8717

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1144402264

Jimmy Dee Stanley, PA-C's National Provider Identifier is 1144402264, issued on Nov 30, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Antonio, TX. The record was last updated on Aug 26, 2024.