# GERIATRIC AND PALLIATIVE MEDICAL CARE OF TEXAS LLC

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

## Provider details

- **NPI number:** 1821459827
- **Authorized official:** DR. TANPRASERTH VATANADILOK D.N.P. (FOUNDER/CEO)
- **Authorized official phone:** (210) 379-7340

## Contact information

- **Practice address:** 4879 CORIAN SPRINGS DR, SAN ANTONIO, TX 78247-5599
- **Practice address phone:** (210) 379-7340
- **Mailing address:** 4879 CORIAN SPRINGS DR, SAN ANTONIO, TX 78247-5599
- **Mailing address phone:** (210) 379-7340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/18/2016
- **Last updated:** 03/18/2016