Thousand Oaks Clinic Work Med

NPI #1669470811 in San Antonio, Texas

Provider Information

NPI Number: 1669470811
Entity Type: Organization
Organization Name: Thousand Oaks Clinic Work Med
Primary Specialty: Specialist
Enumeration Date: Jul 12, 2005
Last Updated: Aug 29, 2008

Practice Location

Address: 2235 THOUSAND OAKS DR
Address 2: SUITE 115-117
City: San Antonio
State: Texas
ZIP Code: 78232-3966
Phone: (210) 490-1000

Authorized Official

Name: DR. JOHN DENNIS BLACKBURN, MD
Title: OWNER
Phone: (210) 490-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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