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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01527 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1303 MCCULLOUGH AVE SUITE 248 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78212-5609 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 78212 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
1194210658 | 5 Star Integrity Healthcare, LLC | Physician Assistant | 1300 West Ave Ste 201, San Antonio, TX 78201-3501 | 2018-06-27 |
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 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78212 |
Please comment or provide details below to improve the information on MRS. LUCILLE Y FOURNIER.
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.