| Thilo E. Burzlaff, M.d. P.a. | |
|
8530 Village Dr San Antonio TX 78217-5504 | |
| (210) 657-4241 | |
| (210) 657-4243 |
| Full Name | Thilo E. Burzlaff, M.d. P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 8530 Village Dr, San Antonio, Texas |
| Authorized Official Name and Position | Thilo E. Burzlaff (OWNER) |
| Authorized Official Contact | 2106574241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thilo E. Burzlaff, M.d. P.a. 13909 Nacogdoches Rd Suite 105 Pmb 205 San Antonio TX 78217-1299 Ph: (210) 657-4241 | Thilo E. Burzlaff, M.d. P.a. 8530 Village Dr San Antonio TX 78217-5504 Ph: (210) 657-4241 |
| NPI Number | 1770780553 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 06/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770780553 | NPI | - | NPPES |
| 0039HQ | Other | TX | BCBS GROUP # |
| 8F7280 | Other | TX | BCBS INDIVIDUAL # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K2316 (Texas) | Primary |
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