Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan E Dubravsky, PA-C

Individual provider Physician Assistant · NPI 1487186508

Ethan E Dubravsky, PA-C is a Physician Assistant in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2130 NE Loop 410 Ste 100
San Antonio, TX 78217-4660
Phone: (210) 656-7177
Fax: (210) 656-3687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA11118 (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA11118 (TX)

Record details

NPI number1487186508
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 29, 2017
Last updated in NPPESJuly 15, 2022
Certification dateJuly 15, 2022
Mailing addressPo Box 911230, Dallas, TX 75391-1230

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