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NPI Code Detail

MEDICARE: STRONGMAN ASSIST, PLLC

MEDICARE: STRONGMAN ASSIST, PLLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1811878952
Entity Type Code : Organization
Provider Name (Legal Business Name) : STRONGMAN ASSIST, PLLC
Provider Business Mailing Address
First Line : 1141 N LOOP 1604 E # 105-612
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78232-1339
Country : US
Telephone Number : 210-598-4268
Fax Number :
Provider Business Practice Location Address
First Line : 6101 W PLANO PKWY STE 100
Second Line :
City : PLANO
State : TX
Zip : 75093-8372
Country : US
Telephone Number : 210-598-4268
Fax Number :
Authorized Official
Title or Position : PRACTICE MANAGER
Name : SARA BLAKELY
Credential :
Telephone Number : 214-445-6959
Provider Enumeration Date : 09/08/2025
Last Update Date : 12/08/2025

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