Individual
ANITA THARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
18601 LBJ FWY STE 315, MESQUITE, TX 75150-5612
(469) 547-6541
(469) 547-6545
Mailing address
18601 LBJ FWY STE 315, MESQUITE, TX 75150-5612
(469) 547-6541
(469) 547-6545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M0588
TX
207RH0003X
Hematology & Oncology Physician
M0588
TX
207RX0202X
Medical Oncology Physician
Primary
M0588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173978101
—
TX
05
—
173978103
—
TX
05
—
173978104
—
TX
Enumeration date
08/01/2006
Last updated
11/14/2011
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