Dornbluth, Nella Carol

Dornbluth, Nella Carol is an individual health care provider with primary practice located at 4502 Medical Dr , San Antonio TX 78229. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Dornbluth, Nella Carol can be contacted via phone (210) 358-4000.

Contact Information

Primary practice address
4502 Medical Dr San Antonio TX 78229
Phone: (210) 358-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X E4301 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E4301 Texas

Profile Details

NPI number 1417993213
LBN Legal business name Dornbluth, Nella Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated May 29th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417993213 NPPES
Texas MEDICAID 136997713
Texas Other 136997714

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