TANPRASERTH VATANADILOK

SAN ANTONIO, TX
NPI1326071838
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  611125)
Enumeration Date2006-07-08
Last Update Date2016-10-18
Business Address
-- TANPRASERTH VATANADILOK N.P.
6157 NW LOOP 410 STE. 124
SAN ANTONIO, TX 78238-3302
Phone number: 210-681-4777
Mailing Address
-- TANPRASERTH VATANADILOK N.P.
6157 NW LOOP 410 STE. 124
SAN ANTONIO, TX 78238-3302
Phone number: 210-681-4777
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