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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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