MRS. LUCILLE Y FOURNIER


Address: 1303 Mccullough Ave, Suite 248, San Antonio, TX 78212-5609
Phone: 2102203737

MRS. LUCILLE Y FOURNIER (NPI# 1265762074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265762074
Entity Type Individual
Full Name MRS. LUCILLE Y FOURNIER
Credential PA
Practice Address 1303 Mccullough Ave
Suite 248
San Antonio
TX 78212-5609
Practice Telephone 2102203737
Practice Fax Number 2102203747
Mailing Telephone 2102203737
Mailing Fax Number 2102203747
Enumeration Date 2009-12-30
Last Update Date 2009-12-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA01527 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1303 MCCULLOUGH AVE
SUITE 248
City SAN ANTONIO
State TX
Zip Code 78212-5609

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386645372 Victor Ivan Lyday Orthopaedic Surgery 1303 Mccullough Ave, Suite 361, San Antonio, TX 78212-5609 2005-08-02
1588208920 Lorena Angelica Ramirez Specialist/Technologist 1303 Mccullough Ave, San Antonio, TX 78212-5609 2019-10-29
1396388351 Alexander Saldana Specialist/Technologist 1303 Mccullough Ave, San Antonio, TX 78212-5609 2019-10-23
1821524158 Jesse Lowrance Specialist/Technologist 1303 Mccullough Ave, San Antonio, TX 78212-5609 2017-05-05
1619410958 Sam Mccrary Specialist/Technologist 1303 Mccullough Ave, San Antonio, TX 78212-5609 2016-11-18
1306242409 Rafael Parra and Associates Neurological Surgery 1303 Mccullough Ave, Ste 440, San Antonio, TX 78212-5609 2014-11-17
1699193185 Southern Texas Heart and Vascular Clinic, Pllc Internal Medicine 1303 Mccullough Ave, San Antonio, TX 78212-5609 2014-04-01
1780925768 San Antonio Lung Center, Pllc Internal Medicine 1303 Mccullough Ave, Suite 428, San Antonio, TX 78212-5609 2013-03-15
1619217122 Gmg Health Systems Associates, Pa Durable Medical Equipment & Medical Supplies 1303 Mccullough Ave, Suite 170, San Antonio, TX 78212-5609 2013-02-20
1144572132 Rebekah T Adai Nurse Practitioner 1303 Mccullough Ave, Suite Gl70, San Antonio, TX 78212-5609 2012-10-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902451701 Ninfa Hernandez Guzman Assisted Living Facility 325 E Locust St., San Antonio, TX 78212 2019-08-08
1366924730 David Edward Dupuy Occupational Therapist 307 West Cypress, San Antonio, TX 78212 2018-09-03
1184100836 Magenta Health, Inc. Clinic/Center 1222 North Main, Suite 115, San Antonio, TX 78212 2018-07-16
1497275762 Dms Pharmacy, LLC Pharmacy 305 East Euclid, Suite 104, San Antonio, TX 78212 2017-06-27
1245693290 Rebecca Lynn Sherman Physical Therapist 40 Ne Interstate 410 Loop, San Antonio, TX 78212 2016-03-29
1669886032 Felise De Novo, PC Counselor 2400 Mccullough Ave., #12851, San Antonio, TX 78212 2014-06-13
1699102699 Prem S. Kalidindi Pharmacist 2608 N. Main, Ste 1, San Antonio, TX 78212 2013-10-04
1073860052 Sarah Nicole Percy Tovar Dentist 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 2012-08-09
1205181674 Michael Jose Cavazos Internal Medicine 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 2012-07-20
1730458381 Neuriom, Pllc Electrodiagnostic Medicine 4007 Mccullough Ave, #243, San Antonio, TX 78212 2011-12-27
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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1245750512 William S Beall Jr. Physician Assistant 230 E Travis St, San Antonio, TX 78205-1702 2017-06-27
1114473808 Devon H. Durand Physician Assistant 7950 Floyd Curl Dr Ste 805, San Antonio, TX 78229-3926 2016-09-01
1538533104 Dara Danielle Valdez Physician Assistant 2040 Babcock Rd Ste 301, San Antonio, TX 78229-4428 2015-11-19
1720458870 Thomas Alan Espinoza Physician Assistant 1919 Rogers Rd Ste 104, San Antonio, TX 78251 2015-10-01
1477922474 Michelle Sheree Fonseca Physician Assistant 9811 Huebner Rd Bldg 2, San Antonio, TX 78240-3255 2015-09-20
1235526575 Precision First Assist LLC Physician Assistant 1141 N Loop 1604 E # 105-717, San Antonio, TX 78232-1339 2015-04-24
1497142160 Jimmy Larue Conner Physician Assistant 2903 Deer Ledge, San Antonio, TX 78230-4554 2015-04-21
1740678317 Catherine Millet Physician Assistant 730 N Main Ave Ste 312, San Antonio, TX 78205-1115 2015-01-05
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Competitor

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City SAN ANTONIO
Zip Code 78212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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