Provider Demographics
NPI:1689826083
Name:RIJOS, LEXA ENID (RN, ACNP-BC)
Entity Type:Individual
Prefix:
First Name:LEXA
Middle Name:ENID
Last Name:RIJOS
Suffix:
Gender:F
Credentials:RN, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4330 MEDICAL DR
Mailing Address - Street 2:STE 500
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3342
Mailing Address - Country:US
Mailing Address - Phone:210-576-0645
Mailing Address - Fax:210-694-0645
Practice Address - Street 1:4330 MEDICAL DR
Practice Address - Street 2:STE 500
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3342
Practice Address - Country:US
Practice Address - Phone:210-576-0645
Practice Address - Fax:210-694-0645
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX693638363LA2100X
TXAP117039363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX268959YMVUOtherWELLMED NETWORKS INC
TX199993001Medicaid
TX199993002OtherCSHCN
TX8Y9006OtherBCBS
TXB153072OtherWELLMED MEDICAL GROUP PA
TX199993002OtherCSHCN