Organization
DAVID THARAKAN M.D. PA
Active
Other names
Reshmey Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID K THARAKAN M.D. (PRESIDENT)
(210) 828-2311
Entity
Organization
Contact information
Practice address
1202 E SONTERRA BLVD, SUITE 301, SAN ANTONIO, TX 78258-4089
(210) 828-2311
(210) 828-6679
Mailing address
1202 E SONTERRA BLVD, SUITE 301, SAN ANTONIO, TX 78258-4089
(210) 828-2311
(210) 828-6679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L0646
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187745801
—
TX
Enumeration date
04/13/2007
Last updated
12/28/2007
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