KIMBERLY SUE LASSWELL P.A. NPI 1306078886

NPI Information

NPI: 1306078886
Provider Name: KIMBERLY SUE LASSWELL, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4360 GRECO DR
SAN ANTONIO, TX
ZIP 78222
Phone: (210) 648-8200
Get Directions

Kimberly Sue Lasswell, P.A. is a medical physician assistant in San Antonio, TX. Kimberly Sue Lasswell, P.A. NPI is 1306078886. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4360 GRECO DR
SAN ANTONIO, TX
ZIP 78222-725
Phone: (210) 648-8200
Fax: (855) 392-7988

The NPI 1306078886 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2009 and was last updated on 11/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA03758	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	385010ZLM2	MEDICARE UPIN	TEXAS
2	320249102	MEDICAID	TEXAS
3	P01430297	OTHER	TEXAS	RR MEDICARE
4	PA03758	OTHER	TEXAS	TX LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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