Provider Demographics
NPI:1265763874
Name:SAENZ, JESSICA LEDESMA (PA-C)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:LEDESMA
Last Name:SAENZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:RENEE
Other - Last Name:LEDESMA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3006 N RAUL LONGORIA RD
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-3676
Mailing Address - Country:US
Mailing Address - Phone:956-283-9800
Mailing Address - Fax:956-283-7020
Practice Address - Street 1:3006 N RAUL LONGORIA RD
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-3676
Practice Address - Country:US
Practice Address - Phone:956-283-9800
Practice Address - Fax:956-283-7020
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-21
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXPA06313363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program