Individual
DR. LAUREN ELEANOR TARBOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4511 NW LOOP 410, SUITE 104, SAN ANTONIO, TX 78229-5124
(210) 614-7900
(210) 615-1211
Mailing address
PO BOX 504152, SAINT LOUIS, MO 63150-4152
(210) 212-8622
(210) 212-9197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N9653
TX
207RN0300X
Nephrology Physician
Primary
N9653
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281456803
—
TX
Enumeration date
06/04/2008
Last updated
07/30/2019
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