Tomasovic, Jerry J

Tomasovic, Jerry J is an sole proprietor health care provider with primary practice located at 525 Oak Centre Dr Suite #400, San Antonio TX 78258-3944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Tomasovic, Jerry J can be contacted via phone (210) 615-2333.

Contact Information

Primary practice address
525 Oak Centre Dr Suite #400 San Antonio TX 78258-3944
Phone: (210) 615-2333
Fax: (210) 490-5024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X G7730 Texas

Profile Details

NPI number 1457399081
LBN Legal business name Tomasovic, Jerry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2006
Last updated Oct 20th, 2009 - about 16 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 1457399081 NPPES
Texas MEDICAID 132968207
Texas Other 742506891
Texas Other 8AP903
Texas MEDICAID 095077602
Texas Other 00891N
Texas Other P00728995
Texas MEDICAID 132968209

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