Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | N5372 | TX |
NPI | 1013962588 |
---|---|
Provider Name | Janet Lucretia Rowe |
First Address | San Antonio, TX 78297-1957 |
Second Address | San Antonio, TX 78258-3913 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 20/09/2012 |