Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | M6505 | TX |
NPI | 1285831594 |
---|---|
Provider Name | Dr. Jennifer Arzola |
First Address | San Antonio, TX 78251-4419 |
Second Address | San Antonio, TX 78251-4419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 03/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
M6505 | MEDICAL LICENSE (01) | TX |