Deberardino, Thomas M

Deberardino, Thomas M is an individual health care provider with primary practice located at 8300 Floyd Curl Dr Fl 3 , San Antonio TX 78229-3931. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Deberardino, Thomas M can be contacted via phone (210) 450-9300.

Contact Information

Primary practice address
8300 Floyd Curl Dr Fl 3 San Antonio TX 78229-3931
Phone: (210) 450-9300
Fax: (210) 450-6023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X Q9597 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X Q9597 Texas

Profile Details

NPI number 1033191176
LBN Legal business name Deberardino, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jan 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033191176 NPPES
Connecticut MEDICAID 1033191176
Connecticut MEDICAID 1033191176

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