Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 212245 | TX |
NPI | 1053891531 |
---|---|
Provider Name | Jaimee Michelle Szesnat |
First Address | San Antonio, TX 78259-2102 |
Second Address | San Antonio, TX 78229-4811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2018 |
Last Update Date | 15/08/2018 |