Provider Demographics
NPI:1013073063
Name:ARMITAGE, JAMES LEE (PA-C)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LEE
Last Name:ARMITAGE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 PIPING ROCK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-5072
Mailing Address - Country:US
Mailing Address - Phone:619-371-1260
Mailing Address - Fax:
Practice Address - Street 1:2815 PIPING ROCK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-5072
Practice Address - Country:US
Practice Address - Phone:619-371-1260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2021-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA12035363A00000X
1073849363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant