Provider Demographics
NPI:1851602122
Name:ATENCIO, JULIA ANN (PA-C)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ANN
Last Name:ATENCIO
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:4243 E SOUTHCROSS BLVD
Mailing Address - Street 2:STE 205
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78222-3727
Mailing Address - Country:US
Mailing Address - Phone:210-304-3500
Mailing Address - Fax:210-337-2909
Practice Address - Street 1:4243 E SOUTHCROSS BLVD
Practice Address - Street 2:STE 205
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-3727
Practice Address - Country:US
Practice Address - Phone:210-304-3500
Practice Address - Fax:210-337-2909
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2016-10-14
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX265306YMVUOtherWELLMED NETWORKS INC
TXB155154OtherWELLMED MEDICAL GROUP PA
TX3403081-01OtherWELLMED MEDICAID