Taverna, Josephine Amalia
Taverna, Josephine Amalia is an individual health care provider with primary practice located at 7979 Wurzbach Rd Fl 4 , San Antonio TX 78229-4427. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Taverna, Josephine Amalia can be contacted via phone (210) 450-1143.Contact Information
Primary practice address
7979 Wurzbach Rd Fl 4
San Antonio TX 78229-4427
Phone: (210) 450-1143
Fax: (210) 450-0407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 57.017321 | Ohio |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | R5478 | Texas |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | R5478 | Texas |
Profile Details
| NPI number | 1629283833 |
|---|---|
| LBN Legal business name | Taverna, Josephine Amalia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629283833 | NPPES |
| Texas | MEDICAID | 378896001 | |
| Texas | Other | 378896002 |
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