Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | P1556 | TX |
Y | 207VE0102X | Reproductive Endocrinologist | P1556 | TX |
NPI | 1295994366 |
---|---|
Provider Name | Dr. Jennifer Flora Knudtson |
First Address | San Antonio, TX 78229-3901 |
Second Address | San Antonio, TX 78229-3931 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2008 |
Last Update Date | 29/02/2016 |