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Organization

TEXAS INSTITUTE OF GASTROENTEROLOGY ASSOCIATES , PA

Active
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Organization

TEXAS INSTITUTE OF GASTROENTEROLOGY ASSOCIATES , PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOYCELYN M THEARD MD (PRESIDENT)
(210) 268-0120
Entity
Organization

Contact information

Practice address
19284 STONE OAK PKWY STE 104, SAN ANTONIO, TX 78258-3474
(210) 268-0120
(210) 268-0170
Mailing address
19284 STONE OAK PKWY STE 104, SAN ANTONIO, TX 78258-3474
(210) 268-0120
(210) 268-0170

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0028NP
BCBS
TX
05
180512902
TX
Enumeration date
09/20/2006
Last updated
10/03/2023
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