Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tariq E Thannoun, MD

Individual provider Interventional Cardiology Physician · NPI 1023544988

Dr. Tariq E Thannoun, MD is an Interventional Cardiology in Austin, Texas. Qualified in 2017, 9 years ago. Practices with St Davids Heart and Vascular PLLC, a 198-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12221 N Mopac Expy
Austin, TX 78758-2401
Phone: (512) 334-8999
Fax: (512) 339-7743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence U4356 (TX)

Record details

NPI number1023544988
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address12221 N Mopac Expy, Austin, TX 78758-2401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Davids Heart And Vascular Pllc — 198 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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