Provider Demographics
NPI:1396859211
Name:PARTALAS, THIMIOS D (DC, DACNB, RN,FNP-C)
Entity Type:Individual
Prefix:DR
First Name:THIMIOS
Middle Name:D
Last Name:PARTALAS
Suffix:
Gender:M
Credentials:DC, DACNB, RN,FNP-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:303 E QUINCY ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-1918
Mailing Address - Country:US
Mailing Address - Phone:210-229-7242
Mailing Address - Fax:210-227-5092
Practice Address - Street 1:303 E QUINCY ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215-1918
Practice Address - Country:US
Practice Address - Phone:210-229-7242
Practice Address - Fax:210-227-5092
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXDC7412111N00000X, 111NN0400X
TX777944363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor
No111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B0156OtherBLUE CROSS BLUE SHIELD TX