Organization
TEXAS SENIOR CARE AT HOME LLC
Active
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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