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Ralica Ninova Houston, PA-C

Physician Assistant in San Antonio, TX. Individual provider (NPI-1).

NPI number1699214577
StatusActive
Last updated in NPPESAug 12, 2024

Details

NPI
1699214577
Entity type
Individual (NPI-1)
Name
Ralica Ninova Houston
Credential
PA-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 13, 2017
Certification date
Aug 12, 2024
Last updated
Aug 12, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

3011 W Loop 1604 N Ste 105
San Antonio, TX 78251-3901

Phone 210-681-0126 · Fax 210-681-0138

Mailing address

3011 W Loop 1604 N Ste 105
San Antonio, TX 78251-3901

Phone 210-681-0126 · Fax 210-681-0138

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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