| Dr Tariq E Thannoun, MD | |
| 
					12221 N Mopac Expy, Austin, TX 78758-2401  | |
| (512) 334-8999 | |
| (512) 339-7743 | 
| Full Name | Dr Tariq E Thannoun | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Interventional Cardiology | 
| Location | 12221 N Mopac Expy, Austin, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023544988 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | U4356 (Texas) | Primary | 
| Entity Name | St Davids Heart & Vascular Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1700887700 PECOS PAC ID: 7012821879 Enrollment ID: O20031117000103  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Tariq E Thannoun, MD 12221 N Mopac Expy, Austin, TX 78758-2401 Ph: (512) 334-8999  | Dr Tariq E Thannoun, MD 12221 N Mopac Expy, Austin, TX 78758-2401 Ph: (512) 334-8999  | 
Dr. Tatiana B. Jacobson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5656 Bee Caves Rd. Bldg C Ste. 102, Austin, TX 78746 Phone: 512-323-5465 Fax: 512-327-1390  | |
Preeti Venkatraman, M.B.B.S. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 E 15th St, Austin, TX 78701 Phone: 512-324-7000  | |
Pritesh Harish Gandhi, M.D., M.P.H. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Camino La Costa, Austin, TX 78752 Phone: 512-684-1832  | |
Dr. Joshua Lane Davis, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1004 W 32nd St Unit 300, Austin, TX 78705 Phone: 512-324-3440  | |
Dr. Grace Marie Grant-jennings, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 North Mopac, Suite # 420, Austin, TX 78731 Phone: 512-482-0045 Fax: 512-476-9892  | |
Dr. Debra Ann Patt, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6204 Balcones Dr, Austin, TX 78731 Phone: 512-427-9400 Fax: 512-342-2723  | |
Dr. Matthew Morris Medlock, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6233 Carrington Dr, Austin, TX 78749 Phone: 512-293-0247  |