THOR TEJADA (NPI# 1376701565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376701565 |
| Entity Type | Individual |
| Full Name | THOR TEJADA |
| Credential | M.D. |
| Practice Address |
12709 Toepperwein Rd Ste 306 Live Oak TX 78233-3223 |
| Mailing Address |
4411 Medical Dr Ste 300 San Antonio TX 78229-3824 |
| Practice Telephone | 2109670096 |
| Practice Fax Number | 2109670383 |
| Mailing Telephone | 2106145400 |
| Mailing Fax Number | 2106144244 |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2017-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
R3604 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
12709 TOEPPERWEIN RD STE 306 |
| City | LIVE OAK |
| State | TX |
| Zip Code | 78233-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548211477 | George Palomino | Internal Medicine | 12709 Toepperwein Rd Ste 306, Live Oak, TX 78233-3223 | 2006-05-15 |
| 1114400660 | Julie Eileen Roat | Nurse Practitioner | 12709 Toepperwein Rd Ste 306, Live Oak, TX 78233-3223 | 2018-09-11 |
| 1982920971 | Jeffrey Clay Fletcher Jr. | Internal Medicine | 12709 Toepperwein Rd Ste 306, Live Oak, TX 78233-3223 | 2010-04-15 |
| 1134303035 | James J. Mancuso | Internal Medicine | 12709 Toepperwein Rd Ste 306, Live Oak, TX 78233-3223 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162451 | Jennifer Chaghoury | Chore Provider | 4606 La Marquesa St, San Antonio, TX 78233 | 2020-07-27 |
| 1912515719 | Creative Health Care Management, LLC | Physical Therapist | 4415 Rio D'oro St, San Antonio, TX 78233 | 2020-07-17 |
| 1841822749 | Edilma Yosmara Medrano | Nurse's Aide | 209 Goforth Drive, San Antonio, TX 78233 | 2020-02-07 |
| 1578194411 | Jorge Javier Jaramillo De La Torre | Neurological Surgery | Cuauhtemoc 380, Col. Moderna, San Luis Potosi, SLP 78233 | 2020-01-29 |
| 1174182000 | Shenila Rajani Od Pllc | Optometrist | 12349 I-35, San Antonio, TX 78233 | 2019-06-13 |
| 1659935609 | Mff Amber Oaks LLC | Assisted Living Facility | 4415 Rio Doro St., San Antonio, TX 78233 | 2019-04-25 |
| 1457862302 | Antoinette Marie Powell | Massage Therapist | 14615 Interstate 35 N, Live Oak, TX 78233 | 2017-10-18 |
| 1154852150 | Dustin William Koenning | Pharmacist | 6019 Randolph Blvd., San Antonio, TX 78233 | 2017-03-22 |
| 1316481153 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 12602 Toepperwein Rd Ste 218, Live Oak, TX 78233 | 2016-12-13 |
| 1477096121 | Vanessa's Garden of Hope Assisted Living,llc | Assisted Living Facility | 4350 Shallow Water, San Antonio, TX 78233 | 2016-11-29 |
| Find all providers in zip 78233 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548447196 | Adam Douglas Price | Internal Medicine | 12709 Toepperwein Rd, Suite 306, Live Oak, TX 78233-3258 | 2008-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949113 | Arrhythmia Care Center Pllc | Internal Medicine | 3501 Link Valley Drive Unit 305, Houston, TX 77025 | 2020-07-07 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1548813207 | Cardiac Arrhythmia Care, Pllc | Internal Medicine | 9440 Bellaire Blvd Ste 206, Houston, TX 77036-4557 | 2019-07-22 |
| 1528527983 | Brazos Ep Pllc | Internal Medicine | 1721 Birmingham Dr Ste 202, College Station, TX 77845-4081 | 2019-03-15 |
| 1245726108 | Pds Turnkey LLC | Internal Medicine | 18320 Michaelangelo Dr Apt Suite, Dallas, TX 75287-3334 | 2018-07-03 |
| 1356846307 | Personal Health Assessment | Internal Medicine | 18320 Michael Angelo Drive, Dallas, TX 75287 | 2018-03-29 |
| 1689028334 | Billy Dimas Md Pllc | Internal Medicine | 5610 Northmoor Dr, Dallas, TX 75230-2644 | 2016-04-19 |
| 1639555014 | Kamran A Rizvi Md Pa | Internal Medicine | 5713 Pantheon Ct, Plano, TX 75024-4569 | 2015-08-07 |
| 1104164672 | Zarzamora Medical Associates | Internal Medicine | 626 S Zarzamora St, San Antonio, TX 78207-5254 | 2013-01-17 |
| 1215283841 | Cvc Cardiac Cath Lab Pllc | Internal Medicine | 2401 Sse Loop 323, Tyler, TX 75701-6027 | 2012-08-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.