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VATANADILOK ENTERPRISE LLC NPI 1053772236


NPI Information

NPI: 1053772236
Provider Name: VATANADILOK ENTERPRISE LLC

Doing Business As: GERIATRIC AND PALLIATIVE FOCUS

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
4879 CORIAN SPRINGS DR
SAN ANTONIO, TX
ZIP 78247
Phone: (210) 379-7340
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VATANADILOK ENTERPRISE LLC is a geriatric medicine internal medicine in San Antonio, TX. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. VATANADILOK ENTERPRISE LLC NPI is 1053772236. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Geriatric And Palliative Focus.

The provider's business location address is:

4879 CORIAN SPRINGS DR
SAN ANTONIO, TX
ZIP 78247-599
Phone: (210) 379-7340

The provider's authorized official is Tanpraserth Vatanadilok .
The authorized official title is Nurse Practitioner and has the following contact phone number (972) 687-9138.

The enumeration date for this NPI number is 3/15/2016 and was last updated on 3/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily611125TEXASNo
2207RG0300XInternal MedicineGeriatric MedicineH3885TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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