Larry Wayne Ake JR. PA-C

NPI 1114181369 - Physician Assistant - 363AM0700X

NPI Details
NPI 1114181369
Gender Male
Enumeration Date 07/17/2008
Last Updated 02/08/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
318 W LOOP 1604 N
SAN ANTONIO TX, 78245-3194, US
Phone (210) 523-2273
Fax
Business Location
318 W LOOP 1604 N
SAN ANTONIO TX, 78245-3194, US
Phone (210) 523-2273
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Texas
License Number PA08426
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According to our database, Mr. Larry Wayne Ake JR. PA-C NPI is 1114181369, taxonomy code is 363AM0700X and license number is PA08426, license state is located at Texas. Larry Wayne Ake JR. PA-C physically located at 318 W Loop 1604 N, San Antonio TX, 78245-3194. NPI Number Larry Wayne Ake JR. PA-C has the Individual type.

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1114181369 NPI number is provided on an as is basis without warranty of any kind. 1114181369 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Wayne Ake JR. PA-C are for informational purposes only.