VATANADILOK ENTERPRISE LLC

SAN ANTONIO, TX
NPI1053772236
Doing Business AsGERIATRIC AND PALLIATIVE FOCUS
Entity TypeOrganization
Authorized ContactTANPRASERTH VATANADILOK
Nurse Practitioner
972-687-9138
Organization Subpart ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: TX  H3885)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: TX  611125)
Enumeration Date2016-03-15
Last Update Date2016-03-15
Business Address
VATANADILOK ENTERPRISE LLC
4879 CORIAN SPRINGS DR
SAN ANTONIO, TX 78247-5599
Phone number: 210-379-7340
Mailing Address
VATANADILOK ENTERPRISE LLC
4879 CORIAN SPRINGS DR
SAN ANTONIO, TX 78247-5599
Phone number: 210-379-7340