Thushan N Desilva
Dermatologist
120 Old San Antonio Rd
Boerne
, Texas 78006-3413
Thushan N Desilva
Dermatologist
120 Old San Antonio Rd
Boerne
, Texas 78006-3413
(210) 525-1669
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Thushan N Desilva
- 12446 West Ave Suite 200
- San Antonio, TX
- Zip : 78216-2517
- Fax : (210) 525-1669
- Phone : (210) 525-1668
Second Address
- Thushan N Desilva
- 120 Old San Antonio Rd
- Boerne, TX
- Zip : 78006-3413
- Phone : (830) 331-4150
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | K9763 | TX |
National Provider Identifier
| NPI | 1003824335 |
|---|---|
| Provider Name | Thushan N Desilva |
| First Address | San Antonio, TX 78216-2517 |
| Second Address | Boerne, TX 78006-3413 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2006 |
| Last Update Date | 05/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H12499 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.