| Thayil, Inc | |
|
11901 Toepperwein Rd Ste 1402 Live Oak TX 78233-3160 | |
| (210) 599-3840 | |
| (210) 590-6997 |
| Full Name | Thayil, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11901 Toepperwein Rd Ste 1402, Live Oak, Texas |
| Authorized Official Name and Position | Joseph John Thayil (PRESIDENT) |
| Authorized Official Contact | 2106460800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thayil, Inc P.o. Box 780566 San Antonio TX 78278-0566 Ph: (210) 646-0800 | Thayil, Inc 11901 Toepperwein Rd Ste 1402 Live Oak TX 78233-3160 Ph: (210) 599-3840 |
| NPI Number | 1497986137 |
|---|---|
| Provider Enumeration Date | 07/29/2009 |
| Last Update Date | 12/02/2011 |
| Medicare PECOS PAC ID | 6305984147 |
|---|---|
| Medicare Enrollment ID | O20091116000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497986137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph J Thayil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275528978 PECOS PAC ID: 3971533803 Enrollment ID: I20050819000345 |
Tin Aung Hla,m.d.,p.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12501 Judson Rd, 202, Live Oak, TX 78233 Phone: 210-599-4086 | |
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