Provider Demographics
NPI:1497986137
Name:THAYIL, INC
Entity Type:Organization
Organization Name:THAYIL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:THAYIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-646-0800
Mailing Address - Street 1:P.O. BOX 780566
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78278-0566
Mailing Address - Country:US
Mailing Address - Phone:210-646-0800
Mailing Address - Fax:
Practice Address - Street 1:11901 TOEPPERWEIN RD STE 1402
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3160
Practice Address - Country:US
Practice Address - Phone:210-599-3840
Practice Address - Fax:210-590-6997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-29
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty