Organization
SOUTH TEXAS NEUROLOGY LLC
Active
Organization
SOUTH TEXAS NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEEN KUMAR THANGADA M.D. (PHYSICIAN)
(210) 403-2074
Entity
Organization
Contact information
Practice address
115 GALLERY CIR STE 300, SAN ANTONIO, TX 78258-3388
(210) 403-2074
(210) 403-2078
Mailing address
PO BOX 592629, SAN ANTONIO, TX 78259-0181
(210) 403-2074
(210) 403-2078
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
J7226
TX
Other
Enumeration date
06/18/2014
Last updated
10/24/2014
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