Organization
TEXAS SENIOR CARE AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN BLASIER (CHIEF OPERATING OFFICER)
(801) 716-7009
Entity
Organization
Contact information
Practice address
1100 NE LOOP 410 STE 706, SAN ANTONIO, TX 78209-1537
(801) 716-7009
Mailing address
1100 NE LOOP 410 STE 706, SAN ANTONIO, TX 78209-1537
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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