Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | G3164 | TX |
NPI | 1093800526 |
---|---|
Provider Name | Dr. Janet Louise Blodgett |
First Address | San Antonio, TX 78230-5829 |
Second Address | San Antonio, TX 78284 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C13541 | (02) | TX |