Physician Compare National (NPI:1457367112)

HEALTHCARE PROVIDER: ANITA THARIAN DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1457367112
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870520232
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050718000985
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THARIAN
	Individual professional last name
Provider First Name	ANITA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	HEMATOLOGY/ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	PRO PHYSICIANS CLINIC PA
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1254497274
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	8
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1645 N TOWN E BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 503
	Group Practice or individual's line 2 address
City	MESQUITE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	751504147
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4695476541
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450462
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y