STEPHANIE MARIE JUAREZ ATC LAT NPI 1952813735

NPI Information

NPI: 1952813735
Provider Name: STEPHANIE MARIE JUAREZ, ATC, LAT
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1616 CALLAGHAN RD
SAN ANTONIO, TX
ZIP 78228
Phone: (210) 435-1218
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Stephanie Marie Juarez, ATC, LAT is a medical physician assistant in San Antonio, TX. Stephanie Marie Juarez, ATC, LAT NPI is 1952813735. 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:

1616 CALLAGHAN RD
SAN ANTONIO, TX
ZIP 78228-315
Phone: (210) 435-1218

The NPI 1952813735 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 11/1/2017 and was last updated on 4/1/2024.

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	2255A2300X	Specialist/Technologist	Athletic Trainer	AT7188	TEXAS	No
2	363AM0700X	Physician Assistant	Medical	PA17860	TEXAS	Yes
3	2255A2300X	Specialist/Technologist	Athletic Trainer	7188	TEXAS	No

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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