Deberardino, Thomas M
Deberardino, Thomas M is an individual health care provider with primary practice located at 7946 N Loop 1604 W , San Antonio TX 78249-5174. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Deberardino, Thomas M can be contacted via phone (210) 567-9040.Contact Information
Primary practice address
7946 N Loop 1604 W
San Antonio TX 78249-5174
Phone: (210) 567-9040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | Q9597 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 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 | May 4th, 2026 - about 5 months 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 | 1033191176 | NPPES |
| Connecticut | MEDICAID | 1033191176 | |
| Connecticut | MEDICAID | 1033191176 |
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