Healthcare Provider Details

I. General information

NPI: 1295994366
Provider Name (Legal Business Name): JENNIFER FLORA KNUDTSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2008
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E SONTERRA BLVD STE 220
SAN ANTONIO TX
78258-4185
US

IV. Provider business mailing address

PO BOX 632593
CINCINNATI OH
45263-2593
US

V. Phone/Fax

Practice location:
  • Phone: 210-337-8453
  • Fax:
Mailing address:
  • Phone: 210-450-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberP1556
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberP1556
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: