Provider Demographics
NPI:1073950101
Name:THIMIOS D. PARTALAS, D.C., P.A.
Entity Type:Organization
Organization Name:THIMIOS D. PARTALAS, D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THIMIOS
Authorized Official - Middle Name:D
Authorized Official - Last Name:PARTALAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC, FNP
Authorized Official - Phone:214-347-9864
Mailing Address - Street 1:20803 CLIFF PARK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4343
Mailing Address - Country:US
Mailing Address - Phone:214-347-9864
Mailing Address - Fax:469-574-7945
Practice Address - Street 1:20803 CLIFF PARK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4343
Practice Address - Country:US
Practice Address - Phone:214-347-9864
Practice Address - Fax:469-574-7945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX07412111N00000X, 111NN0400X
TX777944163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty