Individual
LISA BLUMENTHAL GURWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4499 MEDICAL DR, SUITE 119, SAN ANTONIO, TX 78229-3735
(210) 614-9400
(210) 614-9244
Mailing address
4499 MEDICAL DR, SUITE 119, SAN ANTONIO, TX 78229-3735
(210) 614-9400
(210) 614-9244
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J8257
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042201601
—
TX
Enumeration date
03/09/2006
Last updated
08/26/2015
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