Healthcare Provider Details

I. General information

NPI: 1467895375
Provider Name (Legal Business Name): THOMAS JOHN GIANIS II M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2013
Last Update Date: 11/29/2021
Certification Date: 11/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 E AMBER ST STE 101
SAN ANTONIO TX
78221-2456
US

IV. Provider business mailing address

PO BOX 91257
SAN ANTONIO TX
78209-9098
US

V. Phone/Fax

Practice location:
  • Phone: 210-610-7283
  • Fax: 210-812-5938
Mailing address:
  • Phone: 210-610-7283
  • Fax: 210-812-5938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberT2607
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: