Individual
DANIEL RICHARD THULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7207 WINTERWOOD PL, SAN ANTONIO, TX 78229-4171
(210) 316-9896
Mailing address
1355 E COURT ST, SEGUIN, TX 78155-5130
(830) 401-4401
(830) 303-5225
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PENDING
TX
Other
Enumeration date
05/29/2007
Last updated
04/19/2016
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