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Kimberly Sue Lasswell, PA
Medical Physician Assistant in San Antonio, Texas
NPI 1306078886

Kimberly Sue Lasswell is a Medical Physician Assistant based in San Antonio, TX and is specialized in Medical. Kimberly Sue Lasswell practices in San Antonio, TX and has the professional credentials of PA. The NPI Number for Kimberly Sue Lasswell is 1306078886 and holds a License No. PA03758 (Texas).

The current practice location address for Kimberly Sue Lasswell is 4360 Greco Dr, San Antonio, TX and can be reached out via phone at 210-648-8200 and via fax at 855-392-7988.

Location: 4360 Greco Dr, San Antonio, TX, 78232-5085
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Provider Profile Details
NPI Number
1306078886
Provider Name
Kimberly Sue Lasswell
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4360 Greco Dr, San Antonio, TX, 78232-5085
Phone Number
210-648-8200
Fax Number
855-392-7988
Provider Enumeration Date
08/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01430297 01 TX RR MEDICARE
320249102 05 TX
PA03758 01 TX TX LICENSE
institution
Provider Business Practice Location Address Details
Address
4360 Greco Dr
City
State
Zip
78222-2725
Phone Number
210-648-8200
Fax Number
855-392-7988
person
Provider Business Mailing Address Details
Address
4360 Greco Dr
City
State
Zip
78222-2725
Phone Number
210-648-8200
Fax Number
855-392-7988
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA03758 (Texas)
Definition
Definition to come...
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