Individual
DR. THOMAS W EADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 BROOKLYN AVE, SUITE 200, SAN ANTONIO, TX 78212-4829
(210) 225-4566
(210) 212-2187
Mailing address
1200 BROOKLYN AVE, SUITE 200, SAN ANTONIO, TX 78212-4803
(210) 225-4566
(210) 212-2187
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
6649
TN
207RC0000X
Cardiovascular Disease Physician
Primary
E3550
TX
Other
Enumeration date
11/23/2005
Last updated
01/10/2008
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