Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lori Jackson-Bogle, PA

Individual provider Medical Physician Assistant · NPI 1952739518

Mrs. Lori Jackson-Bogle, PA is a Physician Assistant in San Antonio, Texas. Qualified in 2013, 13 years ago. Practices with Med Management Associates, a 34-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina, New Jersey and Texas.

Years since qualifying
13
Licensed in
NC, NJ, TX
In the registry since
2013
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7272 Wurzbach Rd Ste 601
San Antonio, TX 78240-4803
Phone: (210) 615-3483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-13228 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP00313900 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA10582 (TX)

Record details

NPI number1952739518
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 17, 2013
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Med Management Associates — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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