| Doctor Name: | NELLA CAROL DORNBLUTH |
| NPI Number: | 1417993213 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | E4301 |
| Business Practice Address: | 4502 Medical Dr San Antonio, TX - 782294402 |
| Business Phone Number: | 2103584000 |
| Business Fax Number: | |
| Mailing Address: | 7703 Floyd Curl Dr, Mc7977 SAN ANTONIO |
| State: | TX |
| Postal Code: | 782293901 |
| Phone Number: | 2104509000 |
| Fax Number: | |
| NPI Enumeration Date: | 06/21/2006 |
| NPI Last Update Date: | 11/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | E4301 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |