Healthcare Provider Details

I. General information

NPI: 1669529129
Provider Name (Legal Business Name): LORI LYNN NAJAR PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LORI LYNN HALE PA

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2028 SUNDANCE PARKWAY
NEW BRAUNFELS TX
78130
US

IV. Provider business mailing address

1305 WONDER WORLD DR STE 200
SAN MARCOS TX
78666-7502
US

V. Phone/Fax

Practice location:
  • Phone: 830-609-1933
  • Fax: 512-371-6891
Mailing address:
  • Phone: 512-754-8676
  • Fax: 513-371-6891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA04913
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA04913
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: