Provider Demographics
NPI:1952733685
Name:ENRIQUEZ, JAMES ANTHONY (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ANTHONY
Last Name:ENRIQUEZ
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:8711 CINNAMON CREEK DR
Mailing Address - Street 2:APT 302
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-4503
Mailing Address - Country:US
Mailing Address - Phone:210-776-2221
Mailing Address - Fax:
Practice Address - Street 1:11163 LA QUINTA PL
Practice Address - Street 2:SUITE B100
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-5255
Practice Address - Country:US
Practice Address - Phone:915-219-8833
Practice Address - Fax:915-219-8580
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2019-10-28
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Provider Licenses
StateLicense IDTaxonomies
TXPA08660363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant