Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jimmy Larue Conner, PA-C

Individual provider Medical Physician Assistant · NPI 1497142160

Mr. Jimmy Larue Conner, PA-C is a Medical Physician Assistant in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2015
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

2903 Deer Ledge
San Antonio, TX 78230-4554
Phone: (210) 213-1817
Fax: (210) 979-8274
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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 PA00612 (TX)

Record details

NPI number1497142160
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 21, 2015
Last updated in NPPESApril 21, 2015

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