Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | L7180 | TX |
NPI | 1023098100 |
---|---|
Provider Name | Dr. Jane Axtell Shows Atkerson |
First Address | San Antonio, TX 78258-4084 |
Second Address | San Antonio, TX 78258-4084 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2006 |
Last Update Date | 03/11/2011 |