Individual
DR. JOHN THACHIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13300 HARGRAVE RD, STE 190, HOUSTON, TX 77070-4379
(281) 332-7505
(281) 897-1215
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
K4588
TX
207RX0202X
Medical Oncology Physician
K4588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100064000A
—
OK
05
—
129003302
—
TX
05
—
129003305
—
TX
05
—
129003306
—
TX
05
—
129003307
—
TX
01
—
8R1567
BLUE CROSS OF TEXAS
TX
Enumeration date
06/14/2006
Last updated
11/14/2011
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