Organization
GERIATRIC AND PALLIATIVE MEDICAL CARE OF TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANPRASERTH VATANADILOK D.N.P. (FOUNDER/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
(210) 379-7340
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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