Organization
DOC IN THE BOX PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THIMIOS PARTALAS (ADMINISTRATOR)
(210) 558-0991
Entity
Organization
Contact information
Practice address
2425 BABCOCK RD, SUITE 111, SAN ANTONIO, TX 78229-4898
(210) 558-0991
(210) 558-0520
Mailing address
2425 BABCOCK RD, SUITE 111, SAN ANTONIO, TX 78229-4898
(210) 558-0991
(210) 558-0520
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203691501
—
TX
Enumeration date
08/12/2006
Last updated
01/30/2012
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