MEDICARE: MS. JANET DIRMEYER LM, CPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	96057	TX

General Provider Information

NPI Number	:	1336164888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANET DIRMEYER LM, CPM

Provider Business Mailing Address
First Line	:	11838 GRAVETREE ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78249-3011
Country	:	US
Telephone Number	:	210-364-7548
Fax Number	:	210-691-1857

Provider Business Practice Location Address
First Line	:	11207 PERRIN BEITEL RD
Second Line	:	SUITE # 103F
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-2515
Country	:	US
Telephone Number	:	210-364-7548
Fax Number	:	210-691-1587

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	04/08/2011

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