Provider Demographics
NPI:1912229964
Name:WORLEY, JOSHUA (PA-C)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:
Last Name:WORLEY
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5510B PRESIDIO PKWY FL 3
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2988
Mailing Address - Country:US
Mailing Address - Phone:210-874-3640
Mailing Address - Fax:210-874-3649
Practice Address - Street 1:5510B PRESIDIO PKWY FL 3
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2988
Practice Address - Country:US
Practice Address - Phone:210-874-3640
Practice Address - Fax:210-874-3649
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA06873363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant