MEDICARE: JENNA MARIE RUMAN PA-C

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
1	363AM0700X	Medical Physician Assistant		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PA08676	OTHER	TX	TEXAS MEDICAL BOARD

General Provider Information

NPI Number	:	1962838086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA MARIE RUMAN PA-C

Provider Business Mailing Address
First Line	:	2611 N MAIN AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-2920
Country	:	US
Telephone Number	:	210-225-2769
Fax Number	:

Provider Business Practice Location Address
First Line	:	2611 N MAIN AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-2920
Country	:	US
Telephone Number	:	210-225-2769
Fax Number	:

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

Provider Enumeration Date	:	09/20/2013
Last Update Date	:	10/17/2025

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