# RIVER CITY NURSE MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679665244
- **Authorized official:** TIMOTHY N TAYLOR MD (FACEP)
- **Authorized official phone:** (210) 614-0180

## Contact information

- **Practice address:** 8811 VILLAGE DR, ATTN FAST TRACK, SAN ANTONIO, TX 78217-5415
- **Practice address phone:** (210) 614-0180
- **Practice address fax:** (210) 615-7170
- **Mailing address:** 8401 DATAPOINT DR, SUITE 500, SAN ANTONIO, TX 78229-5907
- **Mailing address phone:** (210) 614-0180
- **Mailing address fax:** (210) 615-7170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 05/19/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0033PC | BCBSTX | TX |
| 05 | — | 186228602 | — | TX |