Carlton Jay Kizzie in San Antonio - Physician Assistant
Carlton Jay Kizzie - NPI 1740385400
Carlton Jay Kizzie is a Physician Assistant in San Antonio, Texas. Carlton Jay Kizzie practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Carlton Jay Kizzie is 1740385400. The last update date is 2019-10-09.
Carlton Jay Kizzie's current location address is 45 Ne Loop 410, San Antonio, Texas. You can contact this provider via phone number 2108059800 and fax number 2108058770. The mailing address for Carlton Jay Kizzie is 45 Ne Loop 410, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Carlton Jay Kizzie |
---|---|
Address | 45 Ne Loop 410, San Antonio, Texas |
Phone Number | 2108059800 |
Fax Number | 2108058770 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1740385400 |
---|---|
Provider Enumeration Date | 2006-09-14 |
Last Updated Date | 2019-10-09 |
Provider Mailing Address Detail
Address | 45 Ne Loop 410 |
---|---|
City | San Antonio |
State | Texas (TX) |
Post Code | 782165824 |
Phone Number | 2108059800 |
Fax Number | 2108058770 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
---|---|
Taxonomy | 363A00000X |
Licence No | PA03282 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4016123-01 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Carlton Jay Kizzie?
The Carlton Jay Kizzie has been issued the NPI (National Provider Identifier) 1740385400 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Carlton Jay Kizzie?
The Carlton Jay Kizzie is situated at 45 Ne Loop 410, in the city of San Antonio, state of TX, with the zip code 782165824.
What is Carlton Jay Kizzie's area of expertise and its corresponding taxonomy classification?
The Carlton Jay Kizzie's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
As of what date were the details pertaining to Carlton Jay Kizzie last refreshed?
The information related to the Carlton Jay Kizzie, including its address, specialty, and other relevant details, was last updated on 2019-10-09.
When was the information regarding Carlton Jay Kizzie, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carlton Jay Kizzie, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-10-09.