Most Relevant Information
Provider Data
| NPI Number: | 1003824335 |
| Provider Name: | THUSHAN N DESILVA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | K9763 |
Most Important Dates
| Enumeration Date: | 08/03/2006 |
| Last Updated: | 03/05/2019 |
Provider Practice Location
120 OLD SAN ANTONIO RD
BOERNE
TX
780063413
Practice Location Phone/Fax
| Phone: | 8303314150 |
| Fax: |
Provider Mailing Location
12446 WEST AVE
SUITE 200
SAN ANTONIO
TX
782162517
Provider Mailing Phone/Fax
| Phone: | 2105251668 |
| Fax: | 2105251669 |