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Organization
RIVER CITY NURSE MANAGEMENT LLC
Active
Organization
RIVER CITY NURSE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY N TAYLOR MD (FACEP)
(210) 614-0180
Entity
Organization
Contact information
Practice address
8811 VILLAGE DR, ATTN FAST TRACK, SAN ANTONIO, TX 78217-5415
(210) 614-0180
(210) 615-7170
Mailing address
8401 DATAPOINT DR, SUITE 500, SAN ANTONIO, TX 78229-5907
(210) 614-0180
(210) 615-7170
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033PC
BCBSTX
TX
05
—
186228602
—
TX
Enumeration date
09/29/2006
Last updated
05/19/2009
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