Basic Information
Provider Information
NPI: 1487097705
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARNARD
FirstName: JAMI
MiddleName: JANELLE
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1355 CENTRAL PKWY S
Address2: STE 400
City: SAN ANTONIO
State: TX
PostalCode: 782325057
CountryCode: US
TelephoneNumber: 2103499300
FaxNumber: 2103662558
Practice Location
Address1: 999 E BASSE RD STE 100
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782091802
CountryCode: US
TelephoneNumber: 9153070089
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/17/2013
LastUpdateDate: 06/12/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XR3028TXY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

ID Information
IDTypeStateIssuerDescription
R302801TXTEXAS MEDICAL LICENSEOTHER


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