Individual provider · Type 1 NPI
Jason Phillip Jimenez, LSA
Surgical Physician Assistant · San Antonio, TX
NPI number
1407982523
Active
Practice location
540 Madison Oak Dr, Ste 610
San Antonio, TX 78258-3924
Fax (210) 352-5367
Mailing address
10278 Mission Crk
Converse, TX 78109-1680
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | SA00556 (TX) |
Surgical Physician Assistant: Definition to come...
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About NPI 1407982523
Jason Phillip Jimenez, LSA's National Provider Identifier is 1407982523, issued on Feb 25, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Antonio, TX. The record was last updated on Dec 9, 2022.