Basic Information
Provider Information
NPI: 1881318251
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER
FirstName: ANA
MiddleName: ITZEL
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 223 BRACKENRIDGE AVE APT 8309
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782097064
CountryCode: US
TelephoneNumber: 8328680571
FaxNumber:  
Practice Location
Address1: 7431 NW LOOP 410 STE 109
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782453597
CountryCode: US
TelephoneNumber: 2104777190
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/29/2022
LastUpdateDate: 09/29/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/29/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700X TXY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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