Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | J3733 | TX |
NPI | 1003852971 |
---|---|
Provider Name | Dr. Jane T Atkins |
First Address | San Antonio, TX 78229-3725 |
Second Address | San Antonio, TX 78229-3786 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2006 |
Last Update Date | 23/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00575Q | MEDICARE TTAN (01) | TX |
0098GU | BCBS (01) | TX |
136047109 | (05) | TX |
F63380 | (02) | TX |