MR. JIMMY LARUE CONNER PA-C NPI 1497142160

NPI Information

NPI: 1497142160
Provider Name: MR. JIMMY LARUE CONNER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2903 DEER LEDGE
SAN ANTONIO, TX
ZIP 78230
Phone: (210) 213-1817
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MR. Jimmy Larue Conner, PA-C is a medical physician assistant in San Antonio, TX. MR. Jimmy Larue Conner, PA-C NPI is 1497142160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2903 DEER LEDGE
SAN ANTONIO, TX
ZIP 78230-554
Phone: (210) 213-1817
Fax: (210) 979-8274

The enumeration date for this NPI number is 4/21/2015 and was last updated on 4/21/2015.

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	PA00612	TEXAS	Yes

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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