P Praxis·MD
● Active Type 1 · Individual

DR. Jennifer Anne Theoharis, M.D.

Radiology·Boerne, TX· NPI 1659356913 · Enumerated 2005 · 20 years on NPI
Theoharis is 1 of 4 radiology providers in Boerne and 1 of 3776 in Texas.
NPI age
20 years
Enumerated 2005-12-09
Primary specialty
Radiology
Plus 3 subspecialties
Licensed in
TX, CA, CT, TN
4 states
Status
Active
No deactivations on record
Last NPPES update
2026-01-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3776 active radiology providers in Texas.

NPI age
20 years
≈ at median (19 yr)
State licenses
4 states
Top 81% — 18% of peers are multi-state
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-12Enumerated in NPPES
2005 2026

Where they practice

Practice location
9002 Highlands Cv
Boerne, TX 780064843
📞 9525951100fax 6122944903
Mailing address
11995 Singletree Ln Ste 500
Eden Prairie, MN 553445349
📞 9525951301fax 6122944903

Additional practice locations

1 secondary location on file with NPPES.

Location 2
7211 Wellington Dr Ste 101
Knoxville, TN 379195968
📞 8655888005fax 8655887716

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    TX license #M0943CA license #A85035CT license #045784TN license #37923 taxonomy 2085R0202X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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