Organization
VATANADILOK ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAN VATANADILOK D.N.P. (CEO)
(210) 379-7340
Entity
Organization
Contact information
Practice address
4879 CORIAN SPRINGS DR, SAN ANTONIO, TX 78247-5599
(210) 379-7340
Mailing address
4879 CORIAN SPRINGS DR, SAN ANTONIO, TX 78247-5599
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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