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THOUSAND OAKS CLINIC WORK MED NPI 1669470811


NPI Information

NPI: 1669470811
Provider Name: THOUSAND OAKS CLINIC WORK MED
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2235 THOUSAND OAKS DR
SUITE 115-117
SAN ANTONIO, TX
ZIP 78232
Phone: (210) 490-1000
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THOUSAND OAKS CLINIC WORK MED is a specialist in San Antonio, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. THOUSAND OAKS CLINIC WORK MED NPI is 1669470811. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2235 THOUSAND OAKS DR
SUITE 115-117
SAN ANTONIO, TX
ZIP 78232-966
Phone: (210) 490-1000
Fax: (210) 490-3806

The provider's authorized official is John Dennis Blackburn .
The authorized official title is Owner and has the following contact phone number (210) 490-1000.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 8/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMDC7546TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100SN84MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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