Individual
DR. THANH T VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, STE 215, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
L1489
TX
2085R0202X
Diagnostic Radiology Physician
Primary
L1489
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144198508
—
TX
Enumeration date
12/22/2005
Last updated
02/05/2016
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