Vatanadilok Enterprise LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

H3885 Issued in TX

Legal business name

VATANADILOK ENTERPRISE LLC

Doing business as

Geriatric and Palliative Focus

Practice address

4879 Corian Springs Dr
San Antonio, TX 78247-5599

Phone

(210) 379-7340

NPI assigned

Mar 15, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tanpraserth Vatanadilok, N.P.

Title

Nurse Practitioner

Phone

(972) 687-9138

Specialties & licenses 2

Addresses

Other names 1

• Geriatric and Palliative Focus Doing business as

Tax ID family

Geriatric and Palliative Focus2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vatanadilok Enterprise LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1487013983
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1053772236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4879 CORIAN SPRINGS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782475599",
            "telephone_number": "210-379-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4879 CORIAN SPRINGS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782475599",
            "telephone_number": "210-379-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VATANADILOK ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "VATANADILOK",
        "authorized_official_first_name": "TANPRASERTH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "972-687-9138",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "H3885",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "611125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geriatric and Palliative Focus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Vass
• George John Vassar, MD
• Kelly Vasseur, CCC-SLP
• Almina Vastani, AGACNP
• Jaya Vasudevan, MD
• Vatanadilok Enterprise LLC
• Tanpraserth Vatanadilok, N.P.
• Neda Vatanpour
• Denitrea F Vaughan, LPC
• Kristin Williams Vaughan, M.D.

• Geriatric Medicine (Internal Medicine) Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.