Provider Demographics
NPI:1477700359
Name:MORIN, JUAN ANGEL JR (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JUAN
Middle Name:ANGEL
Last Name:MORIN
Suffix:JR
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2115 PLEASANTON RD STE 205
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1300
Mailing Address - Country:US
Mailing Address - Phone:210-922-3627
Mailing Address - Fax:210-922-3245
Practice Address - Street 1:2115 PLEASANTON RD STE 205
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1300
Practice Address - Country:US
Practice Address - Phone:210-922-3627
Practice Address - Fax:210-922-3245
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2022-05-17
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Provider Licenses
StateLicense IDTaxonomies
TXPA05033363AM0700X
VA0110002996363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical