=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336164888
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANET DIRMEYER LM, CPM
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/13/2006
-----------------------------------------------------
Last Update Date | 04/08/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11207 PERRIN BEITEL RD SUITE # 103F
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78217-2515
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-364-7548
-----------------------------------------------------
Fax | 210-691-1587
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11838 GRAVETREE ST
-----------------------------------------------------
City | SAN ANTONIO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78249-3011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 210-364-7548
-----------------------------------------------------
Fax | 210-691-1857
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 176B00000X
-----------------------------------------------------
Taxonomy Name | Midwife
-----------------------------------------------------
License Number | 96057
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------