Unknown Individual – Physician Assistant, NPI 1689690612
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2, Hendon Lane, The Dominion, San Antonio, Bexar County, Texas, 78257, United States
SAN ANTONIO, TX 782571260
Phone: (210) 687-1514
Type: Mailing
CHI Saint Luke's Health Brazosport, 100, Medical Drive, Lake Jackson, Brazoria County, Texas, 77566, United States
LAKE JACKSON, TX 775665674
Phone: (979) 297-4411
Fax: (214) 712-2487
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78257)
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