Healthcare Provider Details

I. General information

NPI: 1699434704
Provider Name (Legal Business Name): LINDSAY THOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2021
Last Update Date: 12/16/2021
Certification Date: 12/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 S ZARZAMORA ST
SAN ANTONIO TX
78207-5209
US

IV. Provider business mailing address

701 S ZARZAMORA ST # 2-5
SAN ANTONIO TX
78207-5209
US

V. Phone/Fax

Practice location:
  • Phone: 210-358-7500
  • Fax: 210-358-7515
Mailing address:
  • Phone: 210-358-7500
  • Fax: 210-358-7515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number62944
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: