Provider Demographics
NPI:1558344432
Name:EADES, THOMAS W (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:W
Last Name:EADES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1200 BROOKLYN AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-4803
Mailing Address - Country:US
Mailing Address - Phone:210-225-4566
Mailing Address - Fax:210-212-2187
Practice Address - Street 1:1200 BROOKLYN AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4829
Practice Address - Country:US
Practice Address - Phone:210-225-4566
Practice Address - Fax:210-212-2187
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2008-01-10
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Provider Licenses
StateLicense IDTaxonomies
TXE3550207RC0000X
TN6649207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease