Individual
CONSTANTINE THEOHARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9600 DATAPOINT DR, SAN ANTONIO, TX 78229-2028
(210) 892-3700
(210) 614-4636
Mailing address
9600 DATAPOINT DR, SAN ANTONIO, TX 78229-2028
(210) 892-3700
(210) 614-4636
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301070815
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
P5484
TX
Other
Enumeration date
04/02/2007
Last updated
02/14/2022
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