Active NPI
Alix Daniel Jean
- Medical Physician Assistant
- McAllen, TX
National Provider Identifier
1558025270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1038-P.A.
- Practice address
- 1901 N Col Rowe Blvd Apt 110
McAllen, TX 78501-2201 - Phone
- (956) 223-9695
- NPI assigned
- Oct 28, 2021
- Last updated
- Oct 28, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1038-P.A. | PR | Primary |
Addresses
Primary practice location
1901 N Col Rowe Blvd Apt 110
McAllen, TX 78501-2201
Mailing address
1901 N Col Rowe Blvd Apt 110
McAllen, TX 78501-2201
Phone (956) 223-9695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1038-P.A. | PR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1558025270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 N COL ROWE BLVD APT 110",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785012201",
"telephone_number": "956-223-9695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N COL ROWE BLVD APT 110",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785012201",
"telephone_number": "956-223-9695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN",
"first_name": "ALIX",
"middle_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-28",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "1038-P.A.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
- Lisa Renee Jauregui, M.S., LPC
- Saeed Uz Zafer Javed, MD
- Javier Rocha (San Miguel Medical Supply)
- Javier Trevino (Liberty Medical)
- Jays Pharmacy
- Jeff Hines, M.D.,P.a.
- Jennifer Almonte-Gonzalez MD PA
- Jennifer Cassandra Gonzalez (Haven Home Care Agency)
- Mayra Alejandra Jerez, OTR
- Jesus a Zavaleta Jr MD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.