Provider Demographics
NPI:1326028713
Name:O'NEILL, THOMAS K (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:K
Last Name:O'NEILL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:7909 FREDERICKSBURG RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-731-2050
Mailing Address - Fax:210-679-3724
Practice Address - Street 1:3327 RESEARCH PLAZA
Practice Address - Street 2:SUTE 403
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78235
Practice Address - Country:US
Practice Address - Phone:210-337-6228
Practice Address - Fax:210-679-3724
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2015-08-04
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Provider Licenses
StateLicense IDTaxonomies
NC2012-00844208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2012-00844OtherLICENSE
NC5921032Medicaid
NC5921032Medicaid