MR. JIMMY LARUE CONNER PA-C
NPI 1497142160
Physician Assistant - Medical in San Antonio, TX

Q: What is Jimmy Conner's NPI number?

The NPI number for Jimmy Conner is 1497142160. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Q: What is Jimmy Conner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jimmy Conner was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 21, 2015

2903 DEER LEDGE, SAN ANTONIO, TX 78230(210) 213-1817(210) 979-8274 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Jimmy Larue Conner Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JIMMY LARUE CONNER PA-C (NPI 1497142160) is an individual medical provider in San Antonio, Texas, licensed in Texas (PA00612) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1497142160

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. JIMMY LARUE CONNERCredential: PA-C

Location Address2903 DEER LEDGESan Antonio, TX 78230-4554

Mailing Address2903 Deer LedgeSan Antonio, TX 78230-4554 · (210) 213-1817 · Fax (210) 979-8274

Phone(210) 213-1817

Fax(210) 979-8274

Sole ProprietorYes

Enumeration DateApril 21, 2015

✔ NPI 1497142160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA00612

2903 DEER LEDGE, San Antonio, TX 78230

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jimmy Conner's NPI number?

The NPI number for Jimmy Conner is 1497142160. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Where is Jimmy Conner located?

Jimmy Conner practices at 2903 Deer Ledge, San Antonio, TX 78230. The listed phone number is (210) 213-1817.

What is Jimmy Conner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jimmy Conner was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.