MEDICARE: RAYNELLE NASH PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363AM0700X	Medical Physician Assistant
2	363AS0400X	Surgical Physician Assistant
3	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1184349037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYNELLE NASH PA

Provider Business Mailing Address
First Line	:	ID# 2163
Second Line	:	PO BOX 659506
City	:	SAN ANTONIO
State	:	TX
Zip	:	78265-9506
Country	:	US
Telephone Number	:	210-878-4116
Fax Number	:	210-878-4113

Provider Business Practice Location Address
First Line	:	18626 HARDY OAK BLVD STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4218
Country	:	US
Telephone Number	:	210-878-4116
Fax Number	:	210-878-4113

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2022
Last Update Date	:	10/04/2022

Similar Medicare Providers

1528529328 — REBECCA ELIZABETH VILLARREAL PA-C
Practice Location Address:

18626 HARDY OAK BLVD STE 101
SAN ANTONIO, TX
78258-4218

Practice Phone: 210-878-4116
Practice Fax:

1053577882 — DR. JAMIE LYNN LYNCH M.D.
Practice Location Address:

18626 HARDY OAK BLVD STE 101
SAN ANTONIO, TX
78258-4218

Practice Phone: 210-878-4116
Practice Fax: 210-878-4113

1063774529 — ALAINA MARIE BRELIN M.D.
Practice Location Address:

18626 HARDY OAK BLVD STE 101
SAN ANTONIO, TX
78258-4218

Practice Phone: 210-878-4116
Practice Fax: 210-878-4113

1881244663 — JARED SCHULTZ PA-C
Practice Location Address:

18626 HARDY OAK BLVD STE 101
SAN ANTONIO, TX
78258-4218

Practice Phone: 210-878-4116
Practice Fax: 210-878-4113

1962851386 — MRS. CRYSTAL MARIE GONZALES FNP-C
Practice Location Address:

4218 DESERT GOLD DR
SAN ANTONIO, TX
78222-4846

Practice Phone: 210-385-7477
Practice Fax:

1598518334 — AMBERARK HAVEN RESIDENCE
Practice Location Address:

4218 PARKWOOD DR
SAN ANTONIO, TX
78218-5024

Practice Phone: 210-640-4488
Practice Fax:

Directions to “ RAYNELLE NASH PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.