Provider Demographics
NPI:1336164888
Name:DIRMEYER, JANET (LM, CPM)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:DIRMEYER
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11838 GRAVETREE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3011
Mailing Address - Country:US
Mailing Address - Phone:210-364-7548
Mailing Address - Fax:210-691-1857
Practice Address - Street 1:11207 PERRIN BEITEL RD
Practice Address - Street 2:SUITE # 103F
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-2515
Practice Address - Country:US
Practice Address - Phone:210-364-7548
Practice Address - Fax:210-691-1587
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96057176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife