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Individual

THOR TEJADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12709 TOEPPERWEIN RD STE 306, LIVE OAK, TX 78233-3223
(210) 967-0096
(210) 967-0383
Mailing address
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
(210) 614-4244

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
R3604
TX

Other

Enumeration date
05/26/2008
Last updated
02/08/2022
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