JASON PHILLIP JIMENEZ LSA NPI 1407982523

NPI Information

NPI: 1407982523
Provider Name: JASON PHILLIP JIMENEZ, LSA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
540 MADISON OAK DR
STE 610
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 352-5346
Get Directions

Jason Phillip Jimenez, LSA is a surgical physician assistant in San Antonio, TX. Jason Phillip Jimenez, LSA NPI is 1407982523. 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:

540 MADISON OAK DR
STE 610
SAN ANTONIO, TX
ZIP 78258-924
Phone: (210) 352-5346
Fax: (210) 352-5367

The enumeration date for this NPI number is 2/25/2007 and was last updated on 12/9/2022.

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	363AS0400X	Physician Assistant	Surgical	SA00556	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	SA00556	OTHER	TEXAS	LSA LICENSE
2	12678940	OTHER	TEXAS	CAQH
3	85NN35	OTHER	TEXAS	BCBSTX

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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