Provider Demographics
NPI:1255454765
Name:ALMEIDA, JAVIER J (PA-C)
Entity type:Individual
Prefix:
First Name:JAVIER
Middle Name:J
Last Name:ALMEIDA
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13203
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79913-3203
Mailing Address - Country:US
Mailing Address - Phone:915-217-2793
Mailing Address - Fax:915-584-8546
Practice Address - Street 1:6151 DEW DR STE 410
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3912
Practice Address - Country:US
Practice Address - Phone:915-217-2793
Practice Address - Fax:915-584-8546
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA04246363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPA04246OtherPHYSICIAN ASSISTANT PERMI