MEDICARE: AZREENA THOMAS MDPA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	H6648	TX
2	2084E0001X	Epilepsy Physician	H6648	TX
3	2084N0600X	Clinical Neurophysiology Physician	H6648	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0037QS	OTHER	TX	BLUE CROSS

General Provider Information

NPI Number	:	1922078864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AZREENA THOMAS MDPA

Provider Business Mailing Address
First Line	:	8632 FREDERICKSBURG RD STE 112
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-1266
Country	:	US
Telephone Number	:	210-593-0900
Fax Number	:	210-593-4474

Provider Business Practice Location Address
First Line	:	8632 FREDERICKSBURG RD STE 112
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-1266
Country	:	US
Telephone Number	:	210-593-0900
Fax Number	:	210-593-4474

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	01/07/2026

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Directions to “ AZREENA THOMAS MDPA” Practice Location

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