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

Jason Phillip Jimenez, LSA

Individual provider Surgical Physician Assistant · NPI 1407982523

Jason Phillip Jimenez, LSA is a Surgical Physician Assistant in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007

Practice location Address checks out

540 Madison Oak Dr Ste 610
San Antonio, TX 78258-3924
Phone: (210) 352-5346
Fax: (210) 352-5367
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence SA00556 (TX)

Record details

NPI number1407982523
Entity typeIndividual (Type 1)
GenderMale
Credentials LSA
Sole proprietorNo
NPI enumeratedFebruary 25, 2007
Last updated in NPPESDecember 9, 2022
Certification dateDecember 9, 2022

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