Provider Demographics
NPI:1194307413
Name:TSCHIRHART, LORRIN (PA)
Entity type:Individual
Prefix:
First Name:LORRIN
Middle Name:
Last Name:TSCHIRHART
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:LORRIN
Other - Middle Name:ELIZABETH
Other - Last Name:KUNTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2961 MOSSROCK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5119
Mailing Address - Country:US
Mailing Address - Phone:210-731-4800
Mailing Address - Fax:210-731-4810
Practice Address - Street 1:20821 US HIGHWAY 281 N STE 122
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7595
Practice Address - Country:US
Practice Address - Phone:210-546-1600
Practice Address - Fax:210-546-1610
Is Sole Proprietor?:No
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA14328363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant