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Individual

DR. THOMAS JAMES BREIDENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 808-2547
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 808-1859

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R7369
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1518514
UNITED BEHAVIORAL HEALTH
MO
01
171478
HEALTHLINK
MO
05
241822618
MO
01
7552
ANTHEM BLUE CROSS
MO
Enumeration date
11/29/2006
Last updated
04/19/2024
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