MEDICARE: SAVANNAH EGGERSS

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	PA19262	TX

General Provider Information

NPI Number	:	1598656688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNAH EGGERSS

Provider Business Mailing Address
First Line	:	29625 SUMMER COPPER
Second Line	:
City	:	BULVERDE
State	:	TX
Zip	:	78163-2491
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9618 HUEBNER RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-1660
Country	:	US
Telephone Number	:	210-617-3670
Fax Number	:

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

Provider Enumeration Date	:	07/15/2025
Last Update Date	:	02/23/2026

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Directions to “ SAVANNAH EGGERSS ” Practice Location

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