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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