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1124459227

NPI Code Detail

MEDICARE: ASHLEY DENYSE ARELLANO PA-C

MEDICARE: ASHLEY DENYSE ARELLANO 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	363A00000X	Physician Assistant	C0006205	MD
2	363A00000X	Physician Assistant	PA.200685	LA
3	363AM0700X	Medical Physician Assistant	PA.60785224	WA
4	363A00000X	Physician Assistant	PA09754	TX

General Provider Information

NPI Number	:	1124459227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY DENYSE ARELLANO PA-C

Provider Business Mailing Address
First Line	:	4502 MEDICAL DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4492
Country	:	US
Telephone Number	:	210-358-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4502 MEDICAL DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4492
Country	:	US
Telephone Number	:	210-358-4000
Fax Number	:

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

Provider Enumeration Date	:	11/29/2013
Last Update Date	:	08/15/2024

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Directions to “ ASHLEY DENYSE ARELLANO PA-C” 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.

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