Jennifer Jean Apodaca, PA-C
Individual provider Active NPI Medical Physician Assistant · Fort Sam Houston, TX
NPI 1487939849 · NPPES record last updated Oct 8, 2013
Key facts
- NPI
- 1487939849
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA07386 (TX)
- Practice address
- 3100 Schofield Rd
Building 1179
Fort Sam Houston, TX 78234-7577 - Phone
- (210) 808-2457
- Fax
- (210) 808-3515
- NPI assigned
- Oct 18, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA07386 | TX | Yes |
Addresses
Primary practice location
3100 Schofield Rd
Building 1179
Fort Sam Houston, TX 78234-7577
Mailing address
20403 Liatris LN
San Antonio, TX 78259-2251
Phone (210) 857-0427
Other providers in Fort Sam Houston, TX
- Janette Ansorge
- Mark A. Antonacci
- Vincent Matthew Antunez
- Faten Anwar
- Anuli Lovett Anyachebelu
- Sarah Appleton
- Carolyn Wills April
- Michael David April
- Murtaza B Arastu
- Teresa Lynne Arata-Maiers
All providers in Fort Sam Houston, TX · Medical Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.