Organization
J. THOMAS FITCH M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS FITCH JR. MD (DOCTOR)
(210) 826-1891
Entity
Organization
Contact information
Practice address
7959 BROADWAY ST, SUITE 604, SAN ANTONIO, TX 78209-2667
(210) 826-1891
(210) 805-9523
Mailing address
7959 BROADWAY ST, SUITE 604, SAN ANTONIO, TX 78209-2667
(210) 826-1891
(210) 805-9523
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5805700
AETNA
TX
01
—
80821X
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/05/2007
Last updated
08/22/2020
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