Provider Demographics
NPI:1063282549
Name:DEMPSEY, JEFFREY R (PA)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:R
Last Name:DEMPSEY
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1434 E SONTERRA BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4973
Mailing Address - Country:US
Mailing Address - Phone:210-402-3456
Mailing Address - Fax:
Practice Address - Street 1:1434 E SONTERRA BLVD STE 206
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4973
Practice Address - Country:US
Practice Address - Phone:210-402-3456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-04
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA18019363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant