Individual provider · Type 1 NPI

Ethan E. Dubravsky, PA-C

Medical Physician Assistant · San Antonio, TX

NPI number 1487186508 Active

Practice location

2130 NE Loop 410 Ste 100
San Antonio, TX 78217-4660

Call (210) 656-7177 Map

Fax (210) 656-3687

Mailing address

PO Box 911230
Dallas, TX 75391-1230

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA11118 (TX)
Medical Physician Assistant Primary 363AM0700XPA11118 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1487186508

Ethan E. Dubravsky, PA-C's National Provider Identifier is 1487186508, issued on Mar 29, 2017. 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 Jul 15, 2022.