Organization
JKN ASSISTANT, LLC
Active
Organization
JKN ASSISTANT, LLC
Active
Parent organization
JAMAX ASSISTANT
Other names
jamax assistant
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAMAX ASSISTANT
Authorized official
JOSE J AYALA LSA (MANAGER)
(210) 414-6626
Entity
Organization
Contact information
Practice address
13203 PARK MANOR ST, SAN ANTONIO, TX 78230-1530
(210) 414-6626
Mailing address
13203 PARK MANOR ST, SAN ANTONIO, TX 78230-1530
(210) 414-6626
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00397
TX
Other
Enumeration date
02/24/2011
Last updated
05/28/2015
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