Provider Demographics
NPI:1780873463
Name:AZREENA B. THOMAS, MD,PA
Entity type:Organization
Organization Name:AZREENA B. THOMAS, MD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AZREENA
Authorized Official - Middle Name:BALSAVER
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-593-0900
Mailing Address - Street 1:8632 FREDERICKSBURG RD STE 112
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1266
Mailing Address - Country:US
Mailing Address - Phone:210-593-0900
Mailing Address - Fax:210-593-4474
Practice Address - Street 1:8632 FREDERICKSBURG RD STE 112
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1266
Practice Address - Country:US
Practice Address - Phone:210-593-0900
Practice Address - Fax:210-593-4474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1646127-01Medicaid
TXF33742Medicare UPIN